Individual provider · Type 1 NPI

Teresa Mattutat

Addiction (Substance Use Disorder) Counselor · Deer Park, NY

NPI number 1801636576 Active

Practice location

770 Grand Blvd
Deer Park, NY 11729-5750

Mailing address

24 Cold Spring Hills Rd
Huntington, NY 11743-5104

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor Primary 101YA0400XNone listed

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

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About NPI 1801636576

Teresa Mattutat's National Provider Identifier is 1801636576, issued on May 29, 2024. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Deer Park, NY. The record was last updated on May 29, 2024.