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Individual

MRS. YAMELISA J TAVERAS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
MA, CADC

Contact information

Practice address
826 DELAWARE AVE, FOUNTAIN HILL, PA 18015-1174
(610) 419-3101
(610) 419-3309
Mailing address
826 DELAWARE AVE, FOUNTAIN HILL, PA 18015-1174
(610) 419-3101

Taxonomy

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

Other

Enumeration date
09/04/2018
Last updated
09/04/2018
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