Individual
CHARISSE AVOLETTA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
130 POWERVILLE RD, BOONTON, NJ 07005-8705
(973) 316-1816
Mailing address
130 POWERVILLE RD, BOONTON, NJ 07005-8705
(973) 316-1816
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
Other
Enumeration date
03/04/2009
Last updated
03/04/2009
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