Individual provider · Type 1 NPI
Yenny Vanessa Carrasco, 22026
Addiction (Substance Use Disorder) Counselor · New York, NY
NPI number
1629206040
Active
Practice location
1727 Amsterdam Ave
New York, NY 10031-4611
Fax (212) 694-9230
Mailing address
203 W 148th St Apt 2A
New York, NY 10039-3117
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Addiction (Substance Use Disorder) Counselor Primary | 101YA0400X | 22026 (NY) |
Addiction (Substance Use Disorder) Counselor: Definition to come...
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About NPI 1629206040
Yenny Vanessa Carrasco, 22026's National Provider Identifier is 1629206040, issued on Jun 24, 2009. 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 Jun 24, 2009.