Individual provider · Type 1 NPI

Nicholas Jefferson, CASAC-G

Addiction (Substance Use Disorder) Counselor · Bronx, NY

NPI number 1912444282 Active

Practice location

1910 Arthur Ave
Bronx, NY 10457-6305

Call (718) 583-5150 Map

Mailing address

1020 Trinity Ave Apt 10G
Bronx, NY 10456-6915

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor Primary 101YA0400X30878 (NY)

Addiction (Substance Use Disorder) Counselor: Definition to come...

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About NPI 1912444282

Nicholas Jefferson, CASAC-G's National Provider Identifier is 1912444282, issued on Jan 25, 2017. 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 25, 2017.