PETER R BOUTROS

STATEN ISLAND, NY
NPI1477648871
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy101YM0800X Counselor, Mental Health
(Licence: NY  003124)
Additional Taxonomies101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date2006-10-03
Last Update Date2008-09-16
Business Address
-- PETER R BOUTROS LMHC, CASAC
40 DELMAR AVE SUITE A
STATEN ISLAND, NY 10312-2875
Phone number: 917-209-3423
Mailing Address
-- PETER R BOUTROS LMHC, CASAC
40 DELMAR AVE
STATEN ISLAND, NY 10312-2875
Phone number: 718-701-4736