Individual
LYNETTE M PALACIO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CASAC
Contact information
Practice address
880 BERGEN ST, BROOKLYN, NY 11238-3301
(718) 613-7510
(718) 613-7564
Mailing address
40 HARRISON ST APT 23H, NEW YORK, NY 10013-0657
(347) 225-3138
(718) 613-7564
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
7651
NY
Other
Enumeration date
04/20/2021
Last updated
04/20/2021
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