Individual
JENNIFER GRECO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CASAC-T
Contact information
Practice address
111 COLLEGE RD, APT 14 L, SELDEN, NY 11784-2800
(631) 327-1704
Mailing address
111 COLLEGE RD, APT 14 L, SELDEN, NY 11784-2800
(631) 327-1704
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
39200000X
NY
Other
Enumeration date
08/14/2013
Last updated
08/14/2013
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