Individual provider · Type 1 NPI

Tiesheka Brathwaite

Addiction (Substance Use Disorder) Counselor · South Ozone Park, NY

NPI number 1891357034 Active

Practice location

10819 Rockaway Blvd
South Ozone Park, NY 11420-1034

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor Primary 101YA0400XNone listed

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

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About NPI 1891357034

Tiesheka Brathwaite's National Provider Identifier is 1891357034, issued on Jul 8, 2019. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in South Ozone Park, NY. The record was last updated on Jul 8, 2019.