Individual
CATHY TEOLI-LAVALLEE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPCMH, LCDP
Contact information
Practice address
1400 PEOPLES PLZ, SUITE 127, NEWARK, DE 19702-5707
(302) 595-2380
(302) 595-2382
Mailing address
328 WALLACE DR, TOP OF THE WEDGE, NEWARK, DE 19711-2036
(302) 595-2380
(302) 595-2382
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
CD-0000009
DE
101YM0800X
Mental Health Counselor
Primary
PC-0000266
DE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1000022913
—
DE
Enumeration date
02/13/2007
Last updated
07/09/2008
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