Gustavo Leyva, CASAC TRAINEE

NPI #1124101993 in Richmond Hill, New York

Provider Information

NPI Number
1124101993
Entity Type
Individual
Name
Gustavo Leyva, CASAC TRAINEE
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Counselor - Addiction (Substance Use Disorder)
Credential
CASAC TRAINEE
Enumeration Date
Oct 23, 2006
Last Updated
Jul 8, 2007

Practice Location

Address
117-11 MYRTLE AVENUE
ZIP Code
11418
Phone
(718) 849-6300

Specialties & Taxonomy Codes

Specialty
Counselor - Addiction (Substance Use Disorder)Addiction (Substance Use Disorder)

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