Individual
GEORGINA CAMPOS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
8002 KEW GARDENS RD STE 704, KEW GARDENS, NY 11415-3607
(718) 520-1513
(718) 520-6460
Mailing address
13414 FRANKLIN AVE APT 2C, FLUSHING, NY 11355-4603
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
Other
Enumeration date
09/30/2021
Last updated
10/17/2023
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