LISA BEAM

MONTICELLO, NY
NPI1457739419
Entity TypeIndividual
GenderN/A
Sole Proprietor ?Yes
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: NY  19456)
Enumeration Date2015-05-11
Last Update Date2015-05-11
Business Address
-- LISA BEAM
396 BROADWAY
MONTICELLO, NY 12701-1157
Phone number: 845-794-8080
Mailing Address
-- LISA BEAM
396 BROADWAY
MONTICELLO, NY 12701-1157
Phone number:
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