Individual
MR. MARILYN DODDS ALAMILLO RUSSELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, CASAC
Contact information
Practice address
391 WESTERN AVE, ALBANY, NY 12203-1401
(518) 242-4731
Mailing address
PO BOX 92, COPAKE, NY 12516-0092
(518) 755-9837
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
24402
NY
Other
Enumeration date
09/17/2013
Last updated
09/17/2013
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