Individual
CAROLYNE ATIENO ODADA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
311 W 35TH ST, NEW YORK, NY 10001-1701
(212) 736-5900
(212) 643-1441
Mailing address
162 W 130TH ST APT 2, NEW YORK, NY 10027-2181
(646) 732-1931
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
33291
NY
Other
Enumeration date
09/14/2023
Last updated
09/14/2023
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