Individual
ANTHONY CACCIATORE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
B.A.
Contact information
Practice address
826 DELAWARE AVE, FOUNTAIN HILL, PA 18015-1174
(610) 419-3101
Mailing address
1936 KINGSLEY DR, BETHLEHEM, PA 18018-1537
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
Other
Enumeration date
02/05/2015
Last updated
02/05/2015
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