Individual
DR. ELISE MARITA VANDAMIA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
EDD, LPC
Contact information
Practice address
807 WINDOVER DR, OAKDALE, PA 15071-9395
(724) 298-8455
Mailing address
807 WINDOVER DR, OAKDALE, PA 15071-9395
(724) 298-8455
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
PC006158
PA
101YP2500X
Professional Counselor
PC006158
PA
Other
Enumeration date
06/25/2014
Last updated
06/21/2022
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