DARRELL DEVONISH

JAMAICA, NY
NPI1275955759
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: NY  27920)
Enumeration Date2014-01-17
Last Update Date2014-01-17
Business Address
Mr. DARRELL DEVONISH CASAC-T
11630 SUTPHIN BLVD
JAMAICA, NY 11434-1527
Phone number: 718-322-2500
Mailing Address
Mr. DARRELL DEVONISH CASAC-T
108 EDGECOMBE AVE 1B
NEW YORK, NY 10030-1939
Phone number:
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