Individual provider · Type 1 NPI

Johana Lizarraga, CASAC

Addiction (Substance Use Disorder) Counselor · Brentwood, NY

NPI number 1699666545 Active

Practice location

452 Suffolk Ave
Brentwood, NY 11717-4214

Call (631) 436-6065 Map

Fax (631) 524-5542

Mailing address

4 9th Ave
Brentwood, NY 11717-6606

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor Primary 101YA0400X30355 (NY)

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

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About NPI 1699666545

Johana Lizarraga, CASAC's National Provider Identifier is 1699666545, issued on Jul 10, 2025. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Brentwood, NY. The record was last updated on Jul 10, 2025.