Individual provider · Type 1 NPI

Victor Tucker, CASAC-T

Addiction (Substance Use Disorder) Counselor · Staten Island, NY

NPI number 1851239016 Active

Practice location

460 Brielle Ave Bldg H
Staten Island, NY 10314-6427

Call (718) 816-6589 Map

Fax (718) 816-1868

Mailing address

28 Holland Avenue
Staten Island, NY 10303

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor Primary 101YA0400X41224 (NY)

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

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About NPI 1851239016

Victor Tucker, CASAC-T's National Provider Identifier is 1851239016, issued on Mar 21, 2026. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Staten Island, NY. The record was last updated on Mar 21, 2026.