Organization
CCA WELLNESS NETWORK IPA LLC
Active
Other names
CCAHope
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. ALLISON CAPRERA (PRACTICE MANAGER, OWNER)
(860) 455-3486
Entity
Organization
Contact information
Practice address
196 DELAWARE AVE, DELMAR, NY 12054-1230
(518) 439-0033
(518) 439-7167
Mailing address
196 DELAWARE AVE, DELMAR, NY 12054-1230
(518) 439-0033
(518) 439-7167
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
103T00000X
Psychologist
—
—
1041C0700X
Clinical Social Worker
—
—
Other
Enumeration date
10/18/2021
Last updated
10/18/2021
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