Individual provider · Type 1 NPI

Beverly Jones Squall, MSW

Addiction (Substance Use Disorder) Counselor · Rego Park, NY

NPI number 1295065027 Active

Practice location

9729 64th Rd
Rego Park, NY 11374-2240

Fax (718) 459-5621

Mailing address

630 Lenox Ave, Apt. 16P
New York, NY 10037-1247

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor Primary 101YA0400X18997 (NY)

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

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About NPI 1295065027

Beverly Jones Squall, MSW's National Provider Identifier is 1295065027, issued on Dec 29, 2009. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Rego Park, NY. The record was last updated on Dec 29, 2009.