Individual provider · Type 1 NPI
Lisa Matelle, CASAC-T
Addiction (Substance Use Disorder) Counselor · Staten Island, NY
NPI number
1497114292
Active
Practice location
3911 Richmond Ave
Staten Island, NY 10312-5110
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Addiction (Substance Use Disorder) Counselor Primary | 101YA0400X | None listed |
Addiction (Substance Use Disorder) Counselor: Definition to come...
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About NPI 1497114292
Lisa Matelle, CASAC-T's National Provider Identifier is 1497114292, issued on Feb 22, 2016. 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 Feb 22, 2016.