Individual
CARLYLE JESSE DAVID JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
310 W 14TH ST APT A, NEW YORK, NY 10014-5031
(212) 606-2300
Mailing address
310 W 14TH ST APT A, NEW YORK, NY 10014-5031
(917) 880-4283
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
NY
Other
Enumeration date
01/09/2026
Last updated
01/09/2026
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