Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 101YA0400X | Addiction Counselor (Substance Use Disorder) | ||
Y | 1041C0700X | Clinical Social Worker | 034680 | NY |
NPI | 1003982513 |
---|---|
Provider Name | Arlene Lev |
First Address | Albany, NY 12206-1242 |
Second Address | Albany, NY 12206-1242 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 27/11/2006 |
Last Update Date | 25/09/2017 |