Individual
DONNA MAE DEPOLA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CASAC, CPP
Contact information
Practice address
4521 ARTHUR KILL RD, STATEN ISLAND, NY 10309-1315
(718) 605-1989
(718) 605-1989
Mailing address
4521 ARTHUR KILL RD, STATEN ISLAND, NY 10309-1315
(718) 605-1989
(187) 984-1996
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
CPP-158
NY
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
CASAC-5378
NY
Other
Enumeration date
05/01/2012
Last updated
11/23/2021
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