Individual
MS. ADONICA ELAINE MATTHEWS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMSW, CASAC
Contact information
Practice address
2005 JEROME AVENUE, BRONX, NY 10453
(718) 583-0600
(718) 731-5317
Mailing address
2005 JEROME AVENUE, BRONX, NY 10453
(718) 583-0600
(718) 731-5317
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
13022
NY
104100000X
Social Worker
Primary
074944
NY
Other
Enumeration date
10/19/2010
Last updated
10/19/2010
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