Individual
CALISTA MARIE FELTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ADVANCED CASAC
Contact information
Practice address
1519 NYE RD, LYONS, NY 14489-9133
(315) 946-5717
Mailing address
215 WILSON ST, NEWARK, NY 14513-1946
(585) 857-3018
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
36312
NY
Other
Enumeration date
07/31/2023
Last updated
07/31/2023
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