Individual
PAMELA LANTIGUA SEGURA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CASAC-T
Contact information
Practice address
369 LEXINGTON AVE, NEW YORK, NY 10017-6506
(212) 204-8430
Mailing address
80 5TH AVE FL 6, NEW YORK, NY 10011-8002
(332) 205-0018
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
07/03/2023
Last updated
06/12/2025
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