Individual provider · Type 1 NPI

Jayquan Gooding, CRC

Mental Health Counselor · Bronx, NY

NPI number 1396643250 Active

Practice location

1940 Clinton Ave Apt 5B
Bronx, NY 10457-6509

Call (917) 224-9308 Map

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XNone listed

Mental Health Counselor: Definition to come...

Other mental health counselor providers in Bronx

See all in Bronx →

About NPI 1396643250

Jayquan Gooding, CRC's National Provider Identifier is 1396643250, issued on Oct 29, 2026. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Bronx, NY. The record was last updated on Oct 29, 2026.