Individual
MS. LISA EAFFALDANO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
40 SAINT ALBANS BLVD, STAFFORD, VA 22556-1800
(518) 578-8954
Mailing address
40 SAINT ALBANS BLVD, STAFFORD, VA 22556-1800
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
072297
NY
Other
Enumeration date
12/08/2005
Last updated
01/27/2025
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