Most Relevant Information
Provider Data
| NPI Number: | 1003300658 |
| Provider Name: | BELINDA PETERS CASAC 2 |
| Entity Type: | Individual |
| Taxonomy Code: | 101YA0400X |
| Specialty: | Counselor |
| License Number: | 31080 |
Most Important Dates
| Enumeration Date: | 06/18/2018 |
| Last Updated: | 06/18/2018 |
Provider Practice Location
2435 6TH AVE
TROY
NY
121802227
Practice Location Phone/Fax
| Phone: | 5182745143 |
| Fax: |
Provider Mailing Location
79 GLENRIDGE RD
GLENVILLE
NY
123024523
Provider Mailing Phone/Fax
| Phone: | 5189528408 |
| Fax: | 5183996860 |