Individual provider · Type 1 NPI

Jorge L. Oyola, CASAC-2

Addiction (Substance Use Disorder) Counselor · Elmhurst, NY

NPI number 1124634191 Active

Practice location

79-01 Broadway
Elmhurst, NY 11373

Mailing address

7901 Broadway
Elmhurst, NY 11373-1329

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor Primary 101YA0400X022864 (NY)

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

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About NPI 1124634191

Jorge L. Oyola, CASAC-2's National Provider Identifier is 1124634191, issued on Sep 16, 2020. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Elmhurst, NY. The record was last updated on Sep 16, 2020.