person
Richard L Decrosta
Mental Health Counselor in Kingston, New York
NPI 1770507014

Richard L Decrosta is a Mental Health Counselor based in Gardiner, NY and is specialized in Mental Health. Richard L Decrosta practices in Kingston, NY. The NPI Number for Richard L Decrosta is 1770507014 and holds a License No. 001215 (New York).

The current practice location address for Richard L Decrosta is 139 Cornell St, Kingston, NY and can be reached out via phone at 845-338-1234 and via fax at 845-338-6284.

Location: 139 Cornell St, Kingston, NY, 12525-5022
person
Provider Profile Details
NPI Number
1770507014
Provider Name
Richard L Decrosta
Credential
Provider Entity Type
Individual
Gender
Male
Address
139 Cornell St, Kingston, NY, 12525-5022
Phone Number
845-338-1234
Fax Number
845-338-6284
Provider Enumeration Date
07/27/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
001215 01 NY LICENSE
institution
Provider Business Practice Location Address Details
Address
139 Cornell St
City
State
Zip
12401-3633
Phone Number
845-338-1234
Fax Number
845-338-6284
person
Provider Business Mailing Address Details
Address
139 Cornell St
City
State
Zip
12401-3633
Phone Number
845-338-1234
Fax Number
845-338-6284
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
License No.
001215 (New York)
Definition
Definition to come...
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