Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
JUDITH L CONKLIN, CASAC
ActiveAddiction (Substance Use Disorder) Counselor · REGO PARK, NY
Registration Details
- NPI Number
- 1356518898
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- May 14, 2008 (17.947403305747 yrs)
- Last Updated
- May 14, 2008
- License
-
4347 (NY)
Practice Information
- Address
-
9729 64TH RDREGO PARK, NY, 113742240Browse NY providers · Browse ZIP 11374
- Phone
- 7188963400
- Fax
- 7184595621
- Primary Specialty
-
Addiction (Substance Use Disorder) Counselor
101YA0400X
Other Addiction (Substance Use Disorder) Counselor Providers in REGO PARK, NY
| Name | Credential | NPI |
|---|---|---|
| MAUREEN FRANQUIZ | CASAC | 1992820872 |
| NELLIE E. LICIAGA | LCSW, M-CASAC | 1437326253 |
| WALLACE ROMERO | CASAC | 1659548170 |
| OXANA MARTINIOUK | CASAC | 1619144144 |
| GREGORY MOORE SR. | CASAC | 1750558920 |
| BEVERLY JONES SQUALL | MSW | 1295065027 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.