Provider Demographics
NPI:1447133566
Name:KUVERUA, KUVERUA (CAC II)
Entity type:Individual
Prefix:
First Name:KUVERUA
Middle Name:
Last Name:KUVERUA
Suffix:
Gender:M
Credentials:CAC II
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7517 REPUBLIC CT APT 304
Mailing Address - Street 2:
Mailing Address - City:ALEXANDRIA
Mailing Address - State:VA
Mailing Address - Zip Code:22306-7517
Mailing Address - Country:US
Mailing Address - Phone:507-250-8881
Mailing Address - Fax:
Practice Address - Street 1:1300 I ST NW # 473
Practice Address - Street 2:
Practice Address - City:WASHINGTON
Practice Address - State:DC
Practice Address - Zip Code:20005-3314
Practice Address - Country:US
Practice Address - Phone:202-749-8517
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-07-28
Last Update Date:2025-07-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DCCACII200001270101YA0400X
DC200001270101YA0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)