Individual provider · Type 1 NPI

Jacqueline Yvette Penson

Addiction (Substance Use Disorder) Counselor · Brooklyn, NY

NPI number 1609418805 Active

Practice location

15 2nd Ave Fl 3
Brooklyn, NY 11215-2711

Call (718) 514-6007 Map

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 1609418805

Jacqueline Yvette Penson's National Provider Identifier is 1609418805, issued on Oct 9, 2019. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Brooklyn, NY. The record was last updated on Oct 9, 2019.