Individual
NICHOLAS A DEBELLA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
CASAC-T
Contact information
Practice address
41 PAGE PARK DR, ARLINGTON, NY 12603-7500
(845) 464-6803
Mailing address
PO BOX 64, MARLBORO, NY 12542-0064
(845) 464-6803
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
36693
NY
Other
Enumeration date
06/15/2021
Last updated
06/15/2021
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