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Dianco Lavenski Holder, CASAC

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

NPI number1962964510
StatusActive
Last updated in NPPESAug 31, 2021

Details

NPI
1962964510
Entity type
Individual (NPI-1)
Name
Dianco Lavenski Holder
Credential
CASAC
Sex
Male
Sole proprietor
No
Enumeration date
Apr 3, 2019
Certification date
Aug 31, 2021
Last updated
Aug 31, 2021

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
101YA0400X Counselor, Addiction (Substance Use Disorder)33557NYYes

Practice location

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

Phone 718-520-1513

Mailing address

100 Acacia Ave
Hempstead, NY 11550-7021

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Other Addiction (Substance Use Disorder) Counselor providers in Kew Gardens, NY

All 16 Addiction (Substance Use Disorder) Counselor providers in Kew Gardens · All 599 providers in Kew Gardens

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