Provider Demographics
NPI:1366698458
Name:VARELA, PEDRO ALBERTO (CASAC-T)
Entity type:Individual
Prefix:MR
First Name:PEDRO
Middle Name:ALBERTO
Last Name:VARELA
Suffix:
Gender:M
Credentials:CASAC-T
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:345 ADAMS ST
Mailing Address - Street 2:6 TH FLOOR
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11201-3719
Mailing Address - Country:US
Mailing Address - Phone:718-403-4552
Mailing Address - Fax:
Practice Address - Street 1:345 ADAMS ST
Practice Address - Street 2:6 TH FLOOR
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11201-3719
Practice Address - Country:US
Practice Address - Phone:718-403-4552
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2008-08-08
Last Update Date:2008-08-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY20650101YA0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)