Individual provider · Type 1 NPI

Pedro Mamolar, CASAC-T

Addiction (Substance Use Disorder) Counselor · Bronx, NY

NPI number 1508656158 Active

Practice location

1064 Franklin Ave
Bronx, NY 10456-6704

Call (718) 764-1593 Map

Fax (718) 764-1583

Mailing address

Acacia Network - Billing Department, 311 East 175th Street
Bronx, NY 10457

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 1508656158

Pedro Mamolar, CASAC-T's National Provider Identifier is 1508656158, issued on May 7, 2025. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Bronx, NY. The record was last updated on May 14, 2025.