Individual provider · Type 1 NPI

Wallace Romero, CASAC

Addiction (Substance Use Disorder) Counselor · Rego Park, NY

NPI number 1659548170 Active

Practice location

9729 64th Rd
Rego Park, NY 11374-2240

Fax (718) 459-5621

Mailing address

7811 88th Ave
Woodhaven, NY 11421-1825

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor Primary 101YA0400X8126 (NY)

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

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About NPI 1659548170

Wallace Romero, CASAC's National Provider Identifier is 1659548170, issued on May 14, 2008. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Rego Park, NY. The record was last updated on May 14, 2008.