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NPI 1841730413

NPI 1841730413 : JAMRON COUNSELING : BROOKLYN, NY

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General NPI Number Information
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    NPI Number           |    1841730413
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    Entity Type          |    Organization 
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    Legal Business Name  |    JAMRON COUNSELING 
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Dates
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    Enumeration Date     |    03/02/2017
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    Last Update Date     |    03/02/2017
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Provider Practice Location Address
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    Address Line         |    252 JAVA ST 331
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    City                 |    BROOKLYN
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    State                |    NY
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    Zip                  |    11222-5424
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    Country              |    US
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    Telephone            |    774-364-1000
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    119 TAAFFE PL 1L
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    City                 |    BROOKLYN
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    State                |    NY
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    Zip                  |    11205-1493
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    Country              |    US
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    Telephone            |    774-364-1000
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    Fax                  |    
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Authorized Official
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    Title or Position    |    PRESIDENT
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    Name                 |     COLIN  JAMRON 
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    Credential           |    
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    Telephone            |    774-364-1000
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    101YM0800X
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    Taxonomy Name        |    Mental Health Counselor
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    License Number       |    005792
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    License Number State |    NY
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