Individual
ALEIMNI ALTAGRACIA RODRIGUEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CASAC-T
Contact information
Practice address
45 S ROUTE 9W STE 209, WEST HAVERSTRAW, NY 10993-1021
(845) 947-3810
(845) 947-3815
Mailing address
45 S ROUTE 9W STE 209, WEST HAVERSTRAW, NY 10993-1021
(845) 947-3810
(845) 947-3815
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
35760
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
988536976
DRIVERS LICENSE
NY
Enumeration date
04/21/2022
Last updated
04/21/2022
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