Individual provider · Type 1 NPI

Phyllis Kandell, C.A.S.A.C.

Addiction (Substance Use Disorder) Counselor · Bronx, NY

NPI number 1649486663 Active

Practice location

16 Westchester Sq
Bronx, NY 10461-3513

Mailing address

1924 Edison Ave
Bronx, NY 10461-4070

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor Primary 101YA0400X9318 (NY)

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

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About NPI 1649486663

Phyllis Kandell, C.A.S.A.C.'s National Provider Identifier is 1649486663, issued on May 15, 2007. 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 Jul 8, 2007.