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Individual

MISS TARA MARIE PASCIUCCO

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LCAT, ATR-BC, CASAC

Taxonomy

Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
24438
NY
101YM0800X
Mental Health Counselor
11-157
101YP2500X
Professional Counselor
Primary
001269
NY

Other

Enumeration date
10/16/2011
Last updated
08/27/2012
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