person
Lillie Maldonado
Addiction (Substance Use Disorder) Counselor in Stroudsburg, Pennsylvania
NPI 1881044220

Lillie Maldonado is an Addiction (Substance Use Disorder) Counselor based in Stroudsburg, PA and is specialized in Addiction (Substance Use Disorder). Lillie Maldonado practices in Stroudsburg, PA. The NPI Number for Lillie Maldonado is 1881044220 and holds a License No. 457047 (Pennsylvania).

The current practice location address for Lillie Maldonado is 804 Sarah St Ste 305, Stroudsburg, PA and can be reached out via phone at 570-422-6522 and via fax at 570-422-6524.

Location: 804 Sarah St Ste 305, Stroudsburg, PA, 18360-1739
person
Provider Profile Details
NPI Number
1881044220
Provider Name
Lillie Maldonado
Credential
Provider Entity Type
Individual
Gender
Female
Address
804 Sarah St Ste 305, Stroudsburg, PA, 18360-1739
Phone Number
570-422-6522
Fax Number
570-422-6524
Provider Enumeration Date
06/16/2016
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
18746 01 NY CASAC,BHS,PROGRAM DIRECTOR,CLINICAL
457047 01 PA DDAP
institution
Provider Business Practice Location Address Details
Address
804 Sarah St Ste 305
City
State
Zip
18360-1739
Phone Number
570-422-6522
Fax Number
570-422-6524
person
Provider Business Mailing Address Details
Address
804 Sarah St Ste 305
City
State
Zip
18360-1739
Phone Number
570-422-6522
Fax Number
570-422-6524
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Addiction (Substance Use Disorder)
Taxonomy
License No.
457047 (Pennsylvania)
Definition
Definition to come...
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