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Individual

TAMELE ANTHONY GOFFIN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
CASAC-(G)

Contact information

Practice address
460 BRIELLE AVE BLDG H, STATEN ISLAND, NY 10314-6427
(718) 816-6589
Mailing address
460 BRIELLE AVE BLDG H, STATEN ISLAND, NY 10314-6427
(718) 816-6589

Taxonomy

Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary

Other

Enumeration date
02/06/2023
Last updated
03/06/2026
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