Individual
ERIN ROSE MODESTA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CASAC
Contact information
Practice address
41 PAGE PARK DR, POUGHKEEPSIE, NY 12603-7500
(845) 486-2950
Mailing address
41 PAGE PARK DR, POUGHKEEPSIE, NY 12603-7500
(845) 486-2950
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
31859
NY
Other
Enumeration date
06/21/2016
Last updated
06/21/2016
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