Individual provider · Type 1 NPI
Agnes M. Lasetchuk, LCSW
Addiction (Substance Use Disorder) Counselor · Port Washington, NY
NPI number
1942597331
Active
Practice location
225 Main St.
Port Washington, NY 11050-3211
Fax (516) 767-3680
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Addiction (Substance Use Disorder) Counselor Primary | 101YA0400X | P022983-1 (NY) |
Addiction (Substance Use Disorder) Counselor: Definition to come...
Another provider at this address
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About NPI 1942597331
Agnes M. Lasetchuk, LCSW's National Provider Identifier is 1942597331, issued on Jul 6, 2011. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Port Washington, NY. The record was last updated on Jul 6, 2011.