Individual
MRS. MAUREEN SACCIO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW, CASAC
Contact information
Practice address
50 W HAWTHORNE AVE, 3RD FLOOR, VALLEY STREAM, NY 11580-6223
(516) 872-9698
Mailing address
50 W HAWTHORNE AVE, 3RD FLOOR, VALLEY STREAM, NY 11580-6223
(516) 872-9698
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
9270
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
741
LICENSE # RO57715
NY
Enumeration date
03/27/2009
Last updated
03/27/2009
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