Dianco Lavenski Holder, CASAC
NPI #1962964510 in Kew Gardens, New York
Provider Information
- NPI Number
- 1962964510
- Entity Type
- Individual
- Name
- Dianco Lavenski Holder, CASAC
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Counselor - Addiction (Substance Use Disorder)
- Credential
- CASAC
- Enumeration Date
- Apr 3, 2019
- Last Updated
- Aug 31, 2021
Practice Location
- Address
- 8002 KEW GARDENS RD STE 704
- City
- Kew Gardens
- State
- New York
- ZIP Code
- 11415-3607
- Phone
- (718) 520-1513
Specialties & Taxonomy Codes
| Specialty |
|---|
| Counselor - Addiction (Substance Use Disorder) — Addiction (Substance Use Disorder) |
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