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Individual

CHIARA CASTILLA-BROOKS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MS

Contact information

Practice address
55 SYCAMORE AVE, LAKE GROVE, NY 11755-2734
(347) 495-8855
Mailing address
55 SYCAMORE AVE, LAKE GROVE, NY 11755-2734
(347) 495-8855

Taxonomy

Speciality
Code
Description
License number
State
101Y00000X
Counselor
101YA0400X
Addiction (Substance Use Disorder) Counselor
CASAC-32643 TRAINEE
NY
101YM0800X
Mental Health Counselor
Primary
P03748
NY
103K00000X
Behavior Analyst
171M00000X
Case Manager/Care Coordinator
172V00000X
Community Health Worker
174H00000X
Health Educator
225400000X
Rehabilitation Practitioner

Other

Enumeration date
02/09/2015
Last updated
11/03/2016
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