LISA MATELLE

STATEN ISLAND, NY
NPI1497114292
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date2016-02-22
Last Update Date2016-02-22
Business Address
-- LISA MATELLE CASAC-T
3911 RICHMOND AVE
STATEN ISLAND, NY 10312-5110
Phone number: 718-948-3232
Mailing Address
-- LISA MATELLE CASAC-T
3911 RICHMOND AVE
STATEN ISLAND, NY 10312-5110
Phone number: 718-948-3232