Individual provider · Type 1 NPI

Jazavia Ridley

Addiction (Substance Use Disorder) Counselor · New York, NY

NPI number 1942170733 Active

Practice location

2369 2nd Ave
New York, NY 10035-3108

Mailing address

1455 Harrod Ave Apt 2A
Bronx, NY 10472-1448

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 1942170733

Jazavia Ridley's National Provider Identifier is 1942170733, issued on Nov 7, 2025. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in New York, NY. The record was last updated on Nov 7, 2025.