Individual provider · Type 1 NPI

Alvina Takisha Mulligan, CASAC-T

Addiction (Substance Use Disorder) Counselor · Bronx, NY

NPI number 1912789744 Active

Practice location

764 E 176th St
Bronx, NY 10460-4606

Call (718) 542-8770 Map

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor Primary 101YA0400X38846 (NY)

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

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About NPI 1912789744

Alvina Takisha Mulligan, CASAC-T's National Provider Identifier is 1912789744, issued on Oct 17, 2023. 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 Oct 17, 2023.