Individual
JULISSA JEANETTE BARRETO SIERRA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CASAC
Contact information
Practice address
6336 99TH ST, REGO PARK, NY 11374-1979
(347) 975-2390
Mailing address
646 OAKSIDE RD, YORKTOWN HEIGHTS, NY 10598-1931
(914) 575-1634
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
36249
NY
Other
Enumeration date
12/04/2024
Last updated
12/04/2024
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