Individual provider · Type 1 NPI
John P. Pesaniello, LCADC
Addiction (Substance Use Disorder) Counselor · Snow Hill, MD
NPI number
1609913201
Active
Practice location
422 W Market Street, Worcester County Health Department Market Square
Snow Hill, MD 21863
Fax (410) 632-4933
Mailing address
5242 Pearl Drive
Chincoteague, VA 23336
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Addiction (Substance Use Disorder) Counselor Primary | 101YA0400X | LCA293 (MD) |
Addiction (Substance Use Disorder) Counselor: Definition to come...
Another provider at this address
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About NPI 1609913201
John P. Pesaniello, LCADC's National Provider Identifier is 1609913201, issued on Jan 31, 2007. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Snow Hill, MD. The record was last updated on Jul 8, 2007.