Individual provider · Type 1 NPI

Darrell Devonish, CASAC-T

Addiction (Substance Use Disorder) Counselor · Jamaica, NY

NPI number 1275955759 Active

Practice location

11630 Sutphin Blvd
Jamaica, NY 11434-1527

Call (718) 322-2500 Map

Mailing address

108 Edgecombe Ave, 1B
New York, NY 10030-1939

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor Primary 101YA0400X27920 (NY)

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

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About NPI 1275955759

Darrell Devonish, CASAC-T's National Provider Identifier is 1275955759, issued on Jan 17, 2014. 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 Jan 17, 2014.