Individual provider · Type 1 NPI

Kyle James Ditullio, CASAC-T

Addiction (Substance Use Disorder) Counselor · Albany, NY

NPI number 1275760852 Active

Practice location

64 2nd Ave
Albany, NY 12202-1240

Fax (518) 598-0493

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor Primary 101YA0400X22400 (NY)

Addiction (Substance Use Disorder) Counselor: Definition to come...

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About NPI 1275760852

Kyle James Ditullio, CASAC-T's National Provider Identifier is 1275760852, issued on Jun 22, 2009. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Albany, NY. The record was last updated on Jun 22, 2009.