IRICK ARMEL LASSITER

STATEN ISLAND, NY
NPI1891398863
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: NY  36443)
Enumeration Date2020-11-20
Last Update Date2020-11-20
Business Address
IRICK ARMEL LASSITER
1268 FOREST AVE
STATEN ISLAND, NY 10302-2312
Phone number: 718-981-8117
Mailing Address
IRICK ARMEL LASSITER
1268 FOREST AVE
STATEN ISLAND, NY 10302-2312
Phone number: 718-981-8117