Individual provider · Type 1 NPI

Tessa Mariko Shimizu, CASAC-T

Addiction (Substance Use Disorder) Counselor · New York, NY

NPI number 1497055024 Active

Practice location

116 John St Fl 27
New York, NY 10038-3414

Fax (212) 964-0112

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor Primary 101YA0400X24347 (NY)

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

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About NPI 1497055024

Tessa Mariko Shimizu, CASAC-T's National Provider Identifier is 1497055024, issued on Oct 29, 2010. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in New York, NY. The record was last updated on Oct 29, 2010.