Individual provider · Type 1 NPI

Omar Jarvis

Addiction (Substance Use Disorder) Counselor · Bronx, NY

NPI number 1477026789 Active

Practice location

764 E 176th St
Bronx, NY 10460-4606

Call (718) 542-8770 Map

Mailing address

1576 Taylor Ave Apt 4K
Bronx, NY 10460-3363

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 1477026789

Omar Jarvis's National Provider Identifier is 1477026789, issued on Jan 9, 2019. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Bronx, NY. The record was last updated on Jan 9, 2019.