Individual provider · Type 1 NPI

Richard L. Decrosta

Mental Health Counselor · Kingston, NY

NPI number 1770507014 Active

Practice location

139 Cornell St
Kingston, NY 12401-3633

Fax (845) 338-6284

Mailing address

909 State Route 299
Gardiner, NY 12525-5022

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800X001215 (NY)

Mental Health Counselor: Definition to come...

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About NPI 1770507014

Richard L. Decrosta's National Provider Identifier is 1770507014, issued on Jul 27, 2006. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Kingston, NY. The record was last updated on Jul 8, 2007.