Individual
CONCEPCION PACHECO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CASAC
Contact information
Practice address
420 DOUGHTY BLVD, INWOOD, NY 11096-1357
(516) 564-2017
Mailing address
101 CEDAR ST, APT 207, FORT LEE, NJ 07024-7037
(718) 496-1589
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
6469
NY
251B00000X
Case Management Agency
Primary
6469
NY
Other
Enumeration date
02/25/2016
Last updated
02/29/2016
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