Individual
MR. DAWYNE HILLIARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CASAC LV LL
Contact information
Practice address
100 N PORTLAND AVE, BROOKLYN, NY 11205-2005
(718) 260-7786
(718) 260-4801
Mailing address
100 NORTH PORTLAND AVE, ROOM B225, BROOKLYN, NY 11205-2005
(718) 260-7786
(718) 206-4801
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
21196
NY
Other
Enumeration date
09/28/2020
Last updated
09/28/2020
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