Individual provider · Type 1 NPI
Lisa Marie Gallo, CASAC
Addiction (Substance Use Disorder) Counselor · Newburgh, NY
NPI number
1295350528
Active
Practice location
3 Commercial Pl
Newburgh, NY 12550-5306
Fax (845) 561-3913
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Addiction (Substance Use Disorder) Counselor Primary | 101YA0400X | 30972 (NY) |
Addiction (Substance Use Disorder) Counselor: Definition to come...
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About NPI 1295350528
Lisa Marie Gallo, CASAC's National Provider Identifier is 1295350528, issued on Jun 12, 2020. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Newburgh, NY. The record was last updated on Jun 12, 2020.