Yolanda Gonzalez, MSW CASAC

Individual provider Active NPI Addiction (Substance Use Disorder) Counselor · Tuckahoe, NY

NPI 1124547237 · NPPES record last updated Sep 11, 2017

Key facts

NPI
1124547237
Entity type
Individual (NPI type 1)
Primary specialty
Addiction (Substance Use Disorder) Counselor 101YA0400X
License
11904 (NY)
Practice address
92 Yonkers Ave
Tuckahoe, NY 10707-3911
Phone
(914) 337-2388
NPI assigned
Sep 11, 2017
Sex
Female
Sole proprietor
Yes

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
11904NYMDAddiction (Substance Use Disorder) Counselor

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X 11904 NY Yes

Addresses

Primary practice location

92 Yonkers Ave
Tuckahoe, NY 10707-3911

Mailing address

95 W 95TH St Apt 12H
New York, NY 10025-6765
Phone (646) 509-0380

Other providers in Tuckahoe, NY

All providers in Tuckahoe, NY · Addiction (Substance Use Disorder) Counselor in New York

Sources for this page

Verify at the official NPI Registry.