Individual
AMANDA RAGOZZINO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CASAC-T
Contact information
Practice address
12 NEVADA ST, SELDEN, NY 11784-1622
(631) 369-0104
(631) 369-5433
Mailing address
12 NEVADA STREET, SELDEN, NY 11784-1622
(631) 369-0104
(631) 369-5433
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
25676
NY
Other
Enumeration date
03/27/2012
Last updated
03/27/2012
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