Individual provider · Type 1 NPI

Roberto Jennings, CASAC

Addiction (Substance Use Disorder) Counselor · Staten Island, NY

NPI number 1255183992 Active

Practice location

1688 Victory Blvd
Staten Island, NY 10314-3547

Fax (718) 442-8945

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor Primary 101YA0400X19856 (NY)

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

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About NPI 1255183992

Roberto Jennings, CASAC's National Provider Identifier is 1255183992, issued on Apr 4, 2024. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Staten Island, NY. The record was last updated on Apr 4, 2024.