Individual
CECILIA LOURDES ABADILLA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
17 SUSSEX ST, PORT JERVIS, NY 12771-2430
(845) 856-6344
Mailing address
1240 LAKES RD, MONROE, NY 10950-4220
(845) 839-0116
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
Other
Enumeration date
10/23/2020
Last updated
10/23/2020
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