Individual provider · Type 1 NPI

Jermaine McCollum

Addiction (Substance Use Disorder) Counselor · New York, NY

NPI number 1063885671 Active

Practice location

598 Broadway Fl 2
New York, NY 10012-3363

Call (212) 966-9537 Map

Mailing address

598 Broadway
New York, NY 10012-3351

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor Primary 101YA0400XNone listed

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

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About NPI 1063885671

Jermaine McCollum's National Provider Identifier is 1063885671, issued on Nov 4, 2015. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in New York, NY. The record was last updated on Nov 4, 2015.