YOMMALA SYSAVAT
Counselor - Addiction (Substance Use Disorder)
Active
Individual
NPI: 1245588086
Specialties
| Specialty | Code | Primary | License |
|---|---|---|---|
| Counselor - Addiction (Substance Use Disorder) | 101YA0400X | Yes | - |
Frequently Asked Questions
NPI 1245588086 is the National Provider Identifier for YOMMALA SYSAVAT, a Counselor - Addiction (Substance Use Disorder) provider located in Hartford, CT. This NPI was enumerated on August 28, 2012.
YOMMALA SYSAVAT practices at 55 FISHFRY ST, Hartford, CT 06120.
Quick Facts
- NPI
- 1245588086
- Type
- Individual
- Enumerated
- Aug 28, 2012
- Last Updated
- Aug 28, 2012
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