Individual
ELIZABETH LAVALLEE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CASAC-T
Contact information
Practice address
321 W ONONDAGA ST, SYRACUSE, NY 13202-3265
(315) 478-0610
Mailing address
321 W ONONDAGA ST, SYRACUSE, NY 13202-3265
(315) 478-0610
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
Other
Enumeration date
04/12/2024
Last updated
04/12/2024
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