Individual
ANNA DOLGOPOLOVA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CASAC-T
Contact information
Practice address
1300 AVENUE P, UPPER LEVEL, BROOKLYN, NY 11229-1106
(718) 954-3800
Mailing address
1300 AVENUE P, UPPER LEVEL, BROOKLYN, NY 11229-1106
(718) 954-3800
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
30017
NY
Other
Enumeration date
08/19/2015
Last updated
08/19/2015
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