Individual provider · Type 1 NPI

Gustavo Leyva, CASAC TRAINEE

Addiction (Substance Use Disorder) Counselor · Richmond Hill, NY

NPI number 1124101993 Active

Practice location

117-11 Myrtle Avenue
Richmond Hill, NY 11418

Call (718) 849-6300 Map

Fax (718) 849-1093

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor Primary 101YA0400X18554 (NY)

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

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About NPI 1124101993

Gustavo Leyva, CASAC TRAINEE's National Provider Identifier is 1124101993, issued on Oct 23, 2006. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Richmond Hill, NY. The record was last updated on Jul 8, 2007.