Individual
AUDREY YACKAVAGE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
950 S OYSTER BAY RD, HICKSVILLE, NY 11801-3511
(516) 675-3014
Mailing address
950 S OYSTER BAY RD, HICKSVILLE, NY 11801-3511
(516) 675-3014
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
Other
Enumeration date
04/23/2025
Last updated
04/23/2025
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