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Individual

MR. ERIC LESLIE HUTCHINSON

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
C.A.S.A.C.

Contact information

Practice address
17919 SELOVER RD, JAMAICA, NY 11434-3409
(718) 978-1951
Mailing address
17919 SELOVER RD, JAMAICA, NY 11434-3409
(718) 978-1951

Taxonomy

Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
CASAC-20049
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
20049
CASAC
NY
Enumeration date
06/22/2007
Last updated
07/08/2007
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