Individual
KARA JO WILLARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CASAC T
Contact information
Practice address
80 SH 310 STE 1, CANTON, NY 13617-1436
(315) 386-2189
Mailing address
80 SH 310 STE 1, CANTON, NY 13617-1436
(315) 386-2189
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
36598
NY
Other
Enumeration date
10/27/2022
Last updated
10/27/2022
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