ALPHONSO TRESVONT CHAMPAGNE

MOUNT VERNON, NY
NPI1306281738
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: NY  22129)
Enumeration Date2013-04-29
Last Update Date2013-04-29
Business Address
-- ALPHONSO TRESVONT CHAMPAGNE CASAC-T
54 S 3RD AVE
MOUNT VERNON, NY 10550-3303
Phone number: 914-664-4042
Mailing Address
-- ALPHONSO TRESVONT CHAMPAGNE CASAC-T
54 S 3RD AVE
MOUNT VERNON, NY 10550-3303
Phone number: 914-380-4942
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