Doctor Name: | MS. DOLORES M. DESILETS |
NPI Number: | 1225000441 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | CASAC |
License Number: | |
Business Practice Address: | 515 E 85th St #6f Nyc, NY - 100287421 |
Business Phone Number: | 2122492197 |
Business Fax Number: | |
Mailing Address: | 515 E 85th St, #6f NYC |
State: | NY |
Postal Code: | 100287421 |
Phone Number: | 2122492197 |
Fax Number: | |
NPI Enumeration Date: | 02/02/2006 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YA0400X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Addiction (Substance Use Disorder) |
Taxonomy Definition: |