ROSSELL LOUIS LACEY

NEWBURGH, NY
NPI1417449935
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: NY  33454)
Enumeration Date2018-05-31
Last Update Date2018-05-31
Business Address
Mr. ROSSELL LOUIS LACEY CASAC-T
172 LIBERTY ST
NEWBURGH, NY 12550-4912
Phone number: 845-342-5941
Mailing Address
Mr. ROSSELL LOUIS LACEY CASAC-T
172 LIBERTY ST
NEWBURGH, NY 12550-4912
Phone number: 845-342-5941