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Individual

JENNIFER DENISE PERALTA

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
CASAC-T

Contact information

Practice address
480 E 176TH ST APT 215, BRONX, NY 10457-6253
(917) 659-7771
(917) 659-7771
Mailing address
480 E 176TH ST APT 215, BRONX, NY 10457-6253
(917) 659-7771
(917) 659-7771

Taxonomy

Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
38054
NY

Other

Enumeration date
07/07/2025
Last updated
07/07/2025
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