Individual provider · Type 1 NPI

Judith L. Conklin, CASAC

Addiction (Substance Use Disorder) Counselor · Rego Park, NY

NPI number 1356518898 Active

Practice location

9729 64th Rd
Rego Park, NY 11374-2240

Call (718) 896-3400 Map

Fax (718) 459-5621

Mailing address

5503 68th St
Maspeth, NY 11378-1836

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor Primary 101YA0400X4347 (NY)

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

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About NPI 1356518898

Judith L. Conklin, CASAC's National Provider Identifier is 1356518898, issued on May 14, 2008. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Rego Park, NY. The record was last updated on May 14, 2008.