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Individual

MARICELA ROMERO

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
CASAC LEVEL 2

Contact information

Practice address
16318 JAMAICA AVE STE 2, JAMAICA, NY 11432-4901
(718) 297-8000
Mailing address
154 DIANA DR, MASTIC BEACH, NY 11951-4607
(347) 608-6830
(718) 262-8228

Taxonomy

Speciality
Code
Description
License number
State
101Y00000X
Counselor
30246
NY
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
30246
NY

Other

Enumeration date
08/07/2015
Last updated
01/16/2023
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