Individual provider · Type 1 NPI

Peter R. Boutros, LMHC, CASAC

Mental Health Counselor · Staten Island, NY

NPI number 1477648871 Active

Practice location

40 Delmar Ave, Suite A
Staten Island, NY 10312-2875

Call (917) 209-3423 Map

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor 101YA0400XNone listed
Mental Health Counselor Primary 101YM0800X003124 (NY)

Mental Health Counselor: Definition to come...

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About NPI 1477648871

Peter R. Boutros, LMHC, CASAC's National Provider Identifier is 1477648871, issued on Oct 3, 2006. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Staten Island, NY. The record was last updated on Sep 16, 2008.