Individual provider · Type 1 NPI

Jesse Gross

Addiction (Substance Use Disorder) Counselor · Forest Hills, NY

NPI number 1528606571 Active

Practice location

10470 Queens Blvd Ste 200
Forest Hills, NY 11375-3694

Call (718) 275-6010 Map

Mailing address

301 W 110th St Apt 6L
New York, NY 10026-4061

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 1528606571

Jesse Gross's National Provider Identifier is 1528606571, issued on Dec 19, 2019. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Forest Hills, NY. The record was last updated on Dec 19, 2019.