Individual provider · Type 1 NPI
Amanda J. Bevacqua, CASAC
Addiction (Substance Use Disorder) Counselor · Carmel, NY
NPI number
1275892804
Active
Practice location
1808 Route 6
Carmel, NY 10512-2356
Fax (845) 225-3207
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Addiction (Substance Use Disorder) Counselor Primary | 101YA0400X | 2545 (NY) |
Addiction (Substance Use Disorder) Counselor: Definition to come...
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About NPI 1275892804
Amanda J. Bevacqua, CASAC's National Provider Identifier is 1275892804, issued on May 16, 2012. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Carmel, NY. The record was last updated on May 16, 2012.