James Perales
Counselor, Addiction (Substance Use Disorder) in Plattsburgh, NY. Individual provider (NPI-1).
NPI number1164051066
StatusActive
Last updated in NPPESApr 3, 2020
Details
- NPI
- 1164051066
- Entity type
- Individual (NPI-1)
- Name
- James Perales
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Apr 3, 2020
- Certification date
- Apr 3, 2020
- Last updated
- Apr 3, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 101YA0400X | Counselor, Addiction (Substance Use Disorder) | 35886 | NY | Yes |
Practice location
80 Sharron AvePlattsburgh, NY 12901-4700
Phone 518-561-1447
Mailing address
79 Glenridge RdGlenville, NY 12302-4523
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