Individual
GABRIEL ANDERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CASAC
Contact information
Practice address
10470 QUEENS BLVD, 307, FOREST HILLS, NY 11375-3638
(718) 275-4174
(718) 275-4280
Mailing address
10470 QUEENS BLVD, 307, FOREST HILLS, NY 11375-3638
(718) 275-4174
(718) 275-4280
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
129
KS
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
29993
NY
Other
Enumeration date
09/24/2012
Last updated
03/17/2017
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