Individual provider · Type 1 NPI

Carolyn Vella, CASAC

Addiction (Substance Use Disorder) Counselor · Patchogue, NY

NPI number 1124411475 Active

Practice location

475 E Main St
Patchogue, NY 11772-3121

Mailing address

98 Pine St
Patchogue, NY 11772-1019

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor Primary 101YA0400X25032 (NY)

Addiction (Substance Use Disorder) Counselor: Definition to come...

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About NPI 1124411475

Carolyn Vella, CASAC's National Provider Identifier is 1124411475, issued on Mar 11, 2015. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Patchogue, NY. The record was last updated on Mar 11, 2015.