MEDICARE: MR. BRYAN FINKELSTEIN BA, LCDC-II, CAC-II

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	101YA0400X	Addiction (Substance Use Disorder) Counselor	CACII1385	DC

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	CACII1385	OTHER	DC	DC BOARD OF PROFESSIONAL COUNSELING

General Provider Information

NPI Number	:	1316439706
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MR. BRYAN FINKELSTEIN BA, LCDC-II, CAC-II

Provider Business Mailing Address
First Line	:	1418 GOOD HOPE RD SE
Second Line	:
City	:	WASHINGTON
State	:	DC
Zip	:	20020-5615
Country	:	US
Telephone Number	:	202-796-5000
Fax Number	:

Provider Business Practice Location Address
First Line	:	1418 GOOD HOPE RD SE
Second Line	:
City	:	WASHINGTON
State	:	DC
Zip	:	20020-5615
Country	:	US
Telephone Number	:	202-796-5000
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/01/2018
Last Update Date	:	01/26/2021

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