Individual
MISS TARA MARIE PASCIUCCO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCAT, ATR-BC, CASAC
Contact information
Practice address
2 PARK AVE, SMITHERS ADDICTION CENTER, YONKERS, NY 10703-3402
(914) 964-7814
(914) 964-7840
Mailing address
2 PARK AVE, SMITHERS ADDICTION CENTER, YONKERS, NY 10703-3402
(914) 964-7814
(914) 964-7840
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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