Individual
CECILIA MERCEDES NOLASCO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CASACT
Contact information
Practice address
716 FAIRMOUNT PL, BRONX, NY 10457-6405
(718) 731-3500
Mailing address
716 FAIRMOUNT PL, BRONX, NY 10457-6405
(718) 731-3500
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
33819
NY
Other
Enumeration date
09/26/2017
Last updated
07/21/2022
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