Individual
PHYLLIS LAMOUREUX
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
7 RAILROAD AVE, MIDDLETOWN, NY 10940-4907
(845) 342-5941
Mailing address
7 RAILROAD AVENUE, MIDDLETOWN, NY 10940
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
30882
NY
Other
Enumeration date
08/28/2016
Last updated
08/28/2016
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