Individual
MINERVA RYMER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CASAC-T
Contact information
Practice address
2410 AMSTERDAM AVE, 4TH FLOOR, NEW YORK, NY 10033-7320
(917) 258-3698
(212) 740-7065
Mailing address
2410 AMSTERDAM AVE, 4TH FLOOR, NEW YORK, NY 10033-7320
(917) 258-3698
(212) 740-7065
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
24387-TRAINEE
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
24387
TRAINEE CERTIFICATION
—
Enumeration date
07/09/2010
Last updated
07/09/2010
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