Individual
MRS. TERESA GIAMMELLA DEBOER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMHC, LMFT
Contact information
Practice address
835 BARD AVE, STATEN ISLAND, NY 10301-3320
(718) 354-7807
Mailing address
835 BARD AVE, STATEN ISLAND, NY 10301-3320
(718) 354-7807
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
002797
NY
106H00000X
Marriage & Family Therapist
Primary
000259
NY
Other
Enumeration date
11/19/2007
Last updated
11/19/2007
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