Individual
JASON B ANDREWS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CASAC
Contact information
Practice address
6541 BOOTH ST APT 6J, REGO PARK, NY 11374-4129
(917) 363-2267
Mailing address
6541 BOOTH ST APT 6J, REGO PARK, NY 11374-4129
(917) 363-2267
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
17963
NY
Other
Enumeration date
04/27/2019
Last updated
04/27/2019
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