NPI 1003219569

Katrina Edwards, CASAC

Practitioner Addiction (Substance Use Disorder) Counselor Bronx, NY

Practice location

Address: 1600 Macombs Rd, Bronx, NY 10452-2016
Phone: (718) 299-3300

Registered specialties

Addiction (Substance Use Disorder) Counselor Primary

Behavioral Health & Social Service Providers Taxonomy 101YA0400X Licence 22196 (NY)

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Registry record

NPI: 1003219569
Entity type: Individual
Sex (as registered): Female
NPI issued: 29 Sep 2014
Record last updated: 29 Sep 2014

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.