Individual
JOHANA LIZARRAGA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CASAC
Contact information
Practice address
452 SUFFOLK AVE, BRENTWOOD, NY 11717-4214
(631) 436-6065
(631) 524-5542
Mailing address
4 9TH AVE, BRENTWOOD, NY 11717-6606
(631) 332-8971
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
30355
NY
Other
Enumeration date
07/10/2025
Last updated
07/10/2025
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