Individual provider · Type 1 NPI
Gabriel Anderson, CASAC
Addiction (Substance Use Disorder) Counselor · Forest Hills, NY
NPI number
1376894899
Active
Practice location
10470 Queens Blvd, 307
Forest Hills, NY 11375-3638
Fax (718) 275-4280
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | 129 (KS) |
| Addiction (Substance Use Disorder) Counselor Primary | 101YA0400X | 29993 (NY) |
Addiction (Substance Use Disorder) Counselor: Definition to come...
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About NPI 1376894899
Gabriel Anderson, CASAC's National Provider Identifier is 1376894899, issued on Sep 24, 2012. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Forest Hills, NY. The record was last updated on Mar 17, 2017.