Individual provider · Type 1 NPI
Mara Mendicino, CASAC-G
Addiction (Substance Use Disorder) Counselor · Airmont, NY
NPI number
1609320829
Active
Practice location
100 Route 59
Airmont, NY 10901-4927
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Addiction (Substance Use Disorder) Counselor Primary | 101YA0400X | 21917 (NY) |
Addiction (Substance Use Disorder) Counselor: Definition to come...
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About NPI 1609320829
Mara Mendicino, CASAC-G's National Provider Identifier is 1609320829, issued on Aug 4, 2016. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Airmont, NY. The record was last updated on Aug 4, 2016.