Individual provider · Type 1 NPI

Stephanie Guevara

Addiction (Substance Use Disorder) Counselor · Bay Shore, NY

NPI number 1417588906 Active

Practice location

1444 5th Ave
Bay Shore, NY 11706-4147

Call (631) 647-3100 Map

Mailing address

2 Holbrook St
Bay Shore, NY 11706-4117

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor Primary 101YA0400XNone listed

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

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About NPI 1417588906

Stephanie Guevara's National Provider Identifier is 1417588906, issued on Feb 3, 2020. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Bay Shore, NY. The record was last updated on Feb 3, 2020.