Individual
JUAN M DENDARIARENA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CASACT
Contact information
Practice address
20 COMMUNITY LN, LIBERTY, NY 12754-2851
(845) 292-8770
(845) 513-2110
Mailing address
PO BOX 146, LOCH SHELDRAKE, NY 12759-0146
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
Other
Enumeration date
07/08/2010
Last updated
07/08/2010
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