Individual provider · Type 1 NPI

Dianco Lavenski Holder, CASAC

Addiction (Substance Use Disorder) Counselor · Kew Gardens, NY

NPI number 1962964510 Active

Practice location

8002 Kew Gardens Rd Ste 704
Kew Gardens, NY 11415-3607

Call (718) 520-1513 Map

Mailing address

100 Acacia Ave
Hempstead, NY 11550-7021

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor Primary 101YA0400X33557 (NY)

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

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About NPI 1962964510

Dianco Lavenski Holder, CASAC's National Provider Identifier is 1962964510, issued on Apr 3, 2019. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Kew Gardens, NY. The record was last updated on Aug 31, 2021.