Individual provider · Type 1 NPI

David Juan

Addiction (Substance Use Disorder) Counselor · Bellport, NY

NPI number 1497975759 Active

Practice location

11 Farber Drive, Unit D
Bellport, NY 11713

Fax (631) 286-0688

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor Primary 101YA0400X18907 (NY)

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

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About NPI 1497975759

David Juan's National Provider Identifier is 1497975759, issued on Apr 27, 2007. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Bellport, NY. The record was last updated on Jul 8, 2007.