STACEY M BEVILACQUA

ORCHARD PARK, NY
NPI1619073756
Former NameSTACEY M HASSETT
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy101YM0800X Counselor, Mental Health
(Licence: NY  004210-01)
Additional Taxonomies101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: NY  22894)
Enumeration Date2006-09-16
Last Update Date2023-03-22
Business Address
STACEY M BEVILACQUA LMHC, CASAC, MA
6099 NEW TAYLOR RD RIGHT SIDE
ORCHARD PARK, NY 14127-2385
Phone number: 716-800-1766
Mailing Address
STACEY M BEVILACQUA LMHC, CASAC, MA
6099 NEW TAYLOR RD RIGHT SIDE
ORCHARD PARK, NY 14127
Phone number: 716-316-4990