Individual provider · Type 1 NPI

Jeremy Thompson

Addiction (Substance Use Disorder) Counselor · Mount Vernon, NY

NPI number 1003246307 Active

Practice location

54 S 3rd Ave
Mount Vernon, NY 10550-3303

Call (914) 664-4042 Map

Mailing address

902 Fairway Grn
Mamaroneck, NY 10543-4325

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor Primary 101YA0400X419456309 (NY)

Addiction (Substance Use Disorder) Counselor: Definition to come...

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About NPI 1003246307

Jeremy Thompson's National Provider Identifier is 1003246307, issued on Nov 22, 2013. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Mount Vernon, NY. The record was last updated on Nov 22, 2013.