Individual provider · Type 1 NPI
Devena S. Southwell, CASAC-T
Addiction (Substance Use Disorder) Counselor · New York, NY
NPI number
1265293294
Active
Practice location
233 Lafayette St
New York, NY 10012-4051
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Addiction (Substance Use Disorder) Counselor Primary | 101YA0400X | 38411 (NY) |
Addiction (Substance Use Disorder) Counselor: Definition to come...
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About NPI 1265293294
Devena S. Southwell, CASAC-T's National Provider Identifier is 1265293294, issued on Jan 17, 2024. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in New York, NY. The record was last updated on Jan 17, 2024.