Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Aquiles Mouthon Jr., CASAC-T

Individual provider Addiction (Substance Use Disorder) Counselor · NPI 1912383050

Aquiles Mouthon Jr., CASAC-T is an Addiction (Substance Use Disorder) Counselor in Astoria, New York. Licensed in New York. Registered with an NPI since 2015.

Licensed in
NY
In the registry since
2015

Practice location Address checks out

3114 30th Ave 2nd Fl
Astoria, NY 11102-1530
Phone: (718) 204-1200
Fax: (718) 204-1276
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Addiction (Substance Use Disorder) Counselor (primary) Taxonomy 101YA0400X · Licence 28649 (NY)

Record details

NPI number1912383050
Entity typeIndividual (Type 1)
GenderMale
Credentials CASAC-T
Sole proprietorNo
NPI enumeratedJuly 30, 2015
Last updated in NPPESJuly 30, 2015

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