Individual
CHRISTINA CIRILLO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMSW, CASAC-T
Contact information
Practice address
50 W HAWTHORNE AVE, VALLEY STREAM, NY 11580-6223
(516) 569-6600
Mailing address
888 SALISBURY PARK DR, WESTBURY, NY 11590-5854
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
—
104100000X
Social Worker
Primary
—
—
Other
Enumeration date
03/10/2022
Last updated
03/10/2022
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