Individual
JUDE PEGGY NOEL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LPN, CASAC-T
Contact information
Practice address
1490 BOSTON RD APT 5N, BRONX, NY 10460-4969
(917) 617-3842
Mailing address
1490 BOSTON RD APT 5N, BRONX, NY 10460-4969
(917) 617-3842
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
Other
Enumeration date
05/03/2021
Last updated
05/03/2021
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