Individual provider · Type 1 NPI
Takia Shonte Tate, CASAC
Addiction (Substance Use Disorder) Counselor · Jamaica, NY
NPI number
1235934290
Active
Practice location
17515 Rockaway Blvd Rm 162
Jamaica, NY 11434-5503
Fax (718) 356-3155
Mailing address
4442 Arthur Kill Rd Ste 4
Staten Island, NY 10309-1321
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Addiction (Substance Use Disorder) Counselor Primary | 101YA0400X | 37434 (NY) |
Addiction (Substance Use Disorder) Counselor: Definition to come...
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About NPI 1235934290
Takia Shonte Tate, CASAC's National Provider Identifier is 1235934290, issued on Feb 14, 2025. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Jamaica, NY. The record was last updated on Feb 14, 2025.