Individual provider · Type 1 NPI

Martin Irving Colavito, CASAC

Addiction (Substance Use Disorder) Counselor · Port Jervis, NY

NPI number 1487801650 Active

Practice location

17-19 Sussex Street
Port Jervis, NY 12771-2430

Fax (845) 856-4091

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor Primary 101YA0400X7929 (NY)

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

4 other providers at this address

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About NPI 1487801650

Martin Irving Colavito, CASAC's National Provider Identifier is 1487801650, issued on Aug 19, 2008. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Port Jervis, NY. The record was last updated on Aug 19, 2008.