NPI | 1104228980 |
---|---|
Professional Name | ANTHONY J SCUDERI |
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: CA LR15912121) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: CA CDP0320813) |
Enumeration Date | 2014-09-23 |
Last Update Date | 2022-01-04 |