Individual provider · Type 1 NPI

Jason Eveleth, MS. ED, LMHC

Mental Health Counselor · Latham, NY

NPI number 1790238079 Active

Practice location

713 Troy Schenectady Rd Ste 224
Latham, NY 12110-2490

Mailing address

711 Troy Schenectady Rd Ste 203
Latham, NY 12110-2461

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800X007336-1 (NY)

Mental Health Counselor: Definition to come...

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About NPI 1790238079

Jason Eveleth, MS. ED, LMHC's National Provider Identifier is 1790238079, issued on Aug 3, 2016. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Latham, NY. The record was last updated on Jul 29, 2019.