Individual provider · Type 1 NPI

Koly J. Guilavogui, CASAC-T

Addiction (Substance Use Disorder) Counselor · Bronx, NY

NPI number 1013528512 Active

Practice location

770 E 176th St Ste 315
Bronx, NY 10460-4617

Call (718) 583-5150 Map

Fax (718) 228-7648

Mailing address

770 E 176th St
Bronx, NY 10460-4617

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor Primary 101YA0400X31698-T (NY)

Addiction (Substance Use Disorder) Counselor: Definition to come...

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About NPI 1013528512

Koly J. Guilavogui, CASAC-T's National Provider Identifier is 1013528512, issued on Aug 10, 2020. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Bronx, NY. The record was last updated on Aug 10, 2020.