Individual provider · Type 1 NPI
Gila Wisemon, CASAC-T
Addiction (Substance Use Disorder) Counselor · Brooklyn, NY
NPI number
1164686242
Active
Practice location
3619 Quentin Rd
Brooklyn, NY 11234-4203
Fax (718) 998-7955
Mailing address
PO Box 31094
Hartford, CT 06150-1094
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Addiction (Substance Use Disorder) Counselor Primary | 101YA0400X | 18895 (NY) |
Addiction (Substance Use Disorder) Counselor: Definition to come...
2 other providers at this address
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About NPI 1164686242
Gila Wisemon, CASAC-T's National Provider Identifier is 1164686242, issued on Jul 17, 2008. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Brooklyn, NY. The record was last updated on Jul 30, 2008.