Individual provider · Type 1 NPI

Nicole Intervallo, CASAC

Addiction (Substance Use Disorder) Counselor · Yonkers, NY

NPI number 1104393289 Active

Practice location

2176 Central Park Ave
Yonkers, NY 10710-1826

Mailing address

PO Box 356
Yonkers, NY 10710-0356

Other practice locations

  • 20 Church St, White Plains, NY 10601-1901 · (914) 683-8050

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor Primary 101YA0400XNone listed

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

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About NPI 1104393289

Nicole Intervallo, CASAC's National Provider Identifier is 1104393289, issued on Oct 27, 2018. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Yonkers, NY. The record was last updated on Nov 8, 2020.