Most Relevant Information
Provider Data
| NPI Number: | 1003649245 |
| Provider Name: | MONIQUE D LOCHAN MASTER CASAC |
| Entity Type: | Individual |
| Taxonomy Code: | 101YA0400X |
| Specialty: | Counselor |
| License Number: | 31090 |
Most Important Dates
| Enumeration Date: | 08/22/2024 |
| Last Updated: | 08/30/2024 |
Provider Practice Location
64 2ND AVE
ALBANY
NY
122021240
Practice Location Phone/Fax
| Phone: | 5184495170 |
| Fax: |
Provider Mailing Location
64 2ND AVE
ALBANY
NY
122021240
Provider Mailing Phone/Fax
| Phone: | 5184495170 |
| Fax: |