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Gustavo Leyva, CASAC TRAINEE

Counselor, Addiction (Substance Use Disorder) in Richmond Hill, NY. Individual provider (NPI-1).

NPI number1124101993
StatusActive
Last updated in NPPESJul 8, 2007

Details

NPI
1124101993
Entity type
Individual (NPI-1)
Name
Gustavo Leyva
Credential
CASAC TRAINEE
Sex
Male
Sole proprietor
No
Enumeration date
Oct 23, 2006
Last updated
Jul 8, 2007

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
101YA0400X Counselor, Addiction (Substance Use Disorder)18554NYYes

Practice location

117-11 Myrtle Avenue
Richmond Hill, NY 11418

Phone 718-849-6300 · Fax 718-849-1093

Mailing address

117-11 Myrtle Avenue
Richmond Hill, NY 11418

Phone 718-849-6300 · Fax 718-849-1093

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Other Addiction (Substance Use Disorder) Counselor providers in Richmond Hill, NY

All 21 Addiction (Substance Use Disorder) Counselor providers in Richmond Hill · All 1,222 providers in Richmond Hill

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