Individual
MS. JUANA MARIA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CASAC-G
Contact information
Practice address
380 NASSAU RD, ROOSEVELT, NY 11575-1343
(516) 623-7741
(516) 623-7775
Mailing address
241 OAK ST, WEST HEMPSTEAD, NY 11552-2135
(516) 485-5318
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
24086
NY
Other
Enumeration date
12/17/2013
Last updated
12/17/2013
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