Individual
RICKIE SLADE JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
3 COTTAGE PL, NEW ROCHELLE, NY 10801-4201
(914) 235-6633
Mailing address
3 COTTAGE PL, NEW ROCHELLE, NY 10801-4201
(914) 235-6633
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
31753
NY
Other
Enumeration date
09/28/2022
Last updated
09/28/2022
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