Individual
KRISTEN JUACHON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CASAC-T
Contact information
Practice address
1808 ROUTE 6, CARMEL, NY 10512-2356
(845) 225-2700
(845) 225-2700
Mailing address
1808 ROUTE 6, CARMEL, NY 10512-2356
(845) 225-2700
(845) 225-2700
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
22807
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
22807
LICENSE
NY
Enumeration date
09/24/2009
Last updated
09/24/2009
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