Individual provider · Type 1 NPI
Keyanah Depina
Addiction (Substance Use Disorder) Counselor · Bridgeport, CT
NPI number
1417822172
Active
Practice location
4675 Main St
Bridgeport, CT 06606-1813
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Addiction (Substance Use Disorder) Counselor Primary | 101YA0400X | None listed |
Addiction (Substance Use Disorder) Counselor: Definition to come...
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Other addiction (substance use disorder) counselor providers in Bridgeport
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- Carlos Adam Santana, MS, CAC, LADCAddiction (Substance Use Disorder) Counselor Bridgeport, CT NPI 1053147181
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About NPI 1417822172
Keyanah Depina's National Provider Identifier is 1417822172, issued on Oct 10, 2025. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Bridgeport, CT. The record was last updated on Oct 10, 2025.