Individual
CONSTANCE MARIE CARR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMSW, CASAC
Contact information
Practice address
144 PINE ST STE 140, KINGSTON, NY 12401-4946
(845) 768-2295
Mailing address
10 BARBAROSSA LN, KINGSTON, NY 12401-1220
(845) 943-6091
(845) 943-6092
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
23148
NY
104100000X
Social Worker
Primary
100966-1
NY
Other
Enumeration date
04/13/2020
Last updated
04/13/2020
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