Individual provider · Type 1 NPI

Jackson L. Hueckel, CRPA-P

Addiction (Substance Use Disorder) Counselor · Staten Island, NY

NPI number 1366188591 Active

Practice location

285 Vanderbilt Ave
Staten Island, NY 10304-2525

Call (718) 981-4382 Map

Mailing address

20 Stratford Ave Apt A
Staten Island, NY 10301-3831

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 1366188591

Jackson L. Hueckel, CRPA-P's National Provider Identifier is 1366188591, issued on May 10, 2022. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Staten Island, NY. The record was last updated on May 10, 2022.