Individual provider · Type 1 NPI
Yana Bannikova, CASAC-T
Addiction (Substance Use Disorder) Counselor · New York, NY
NPI number
1063947984
Active
Practice location
73 Lenox Ave
New York, NY 10026-3007
Fax (212) 663-1323
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Addiction (Substance Use Disorder) Counselor Primary | 101YA0400X | None listed |
Addiction (Substance Use Disorder) Counselor: Definition to come...
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About NPI 1063947984
Yana Bannikova, CASAC-T's National Provider Identifier is 1063947984, issued on Apr 28, 2017. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in New York, NY. The record was last updated on Apr 28, 2017.