Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Kerissa Lee Tabona, CASAC-T

Individual provider Counselor · NPI 1639982846

Kerissa Lee Tabona, CASAC-T is a Counselor in Staten Island, New York. Licensed in New York. Registered with an NPI since 2025.

Licensed in
NY
In the registry since
2025

Practice location Address checks out

460 Brielle Ave
Staten Island, NY 10314-6427
Phone: (718) 356-5100
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Counselor (primary) Taxonomy 101Y00000X · Licence APPL-098579 (NY)

Record details

NPI number1639982846
Entity typeIndividual (Type 1)
GenderFemale
Credentials CASAC-T
Sole proprietorNo
NPI enumeratedJanuary 30, 2025
Last updated in NPPESJanuary 30, 2025
Certification dateJanuary 30, 2025

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