Individual provider · Type 1 NPI

Jennifer Defillipo, CASAC-T

Addiction (Substance Use Disorder) Counselor · Staten Island, NY

NPI number 1275804601 Active

Practice location

263/267 Port Richmond Ave.
Staten Island, NY 10302

Call (718) 981-8117 Map

Fax (718) 981-9344

Mailing address

1160 Richmond Rd
Staten Island, NY 10304-2443

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor Primary 101YA0400X21190 (NY)

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

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About NPI 1275804601

Jennifer Defillipo, CASAC-T's National Provider Identifier is 1275804601, issued on Jan 17, 2012. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Staten Island, NY. The record was last updated on Jan 17, 2012.