Individual
MS. ALLISON MATTHEWS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CASAC-T
Contact information
Practice address
155 INDIAN HEAD RD, COMMACK, NY 11725-2212
(631) 543-6200
Mailing address
17 SMITH AVE, BAY SHORE, NY 11706-7357
(631) 543-6200
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
18325
NY
Other
Enumeration date
03/30/2007
Last updated
07/08/2007
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