Individual provider · Type 1 NPI
Luis Angel Garrastegue, CASAC 24467
Addiction (Substance Use Disorder) Counselor · New York, NY
NPI number
1578720595
Active
Practice location
625 W 140th St
New York, NY 10031
Fax (212) 690-2757
Mailing address
2001 University Blvd Apt 5EW
Bronx, NY 10453-3977
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Case Manager/Care Coordinator | 171M00000X | None listed |
| Addiction (Substance Use Disorder) Counselor Primary | 101YA0400X | 24467 (NY) |
Addiction (Substance Use Disorder) Counselor: Definition to come...
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About NPI 1578720595
Luis Angel Garrastegue, CASAC 24467's National Provider Identifier is 1578720595, issued on May 19, 2008. 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 Aug 30, 2018.