Individual
JOHN SAULTERS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
452 MADISON ST, BROOKLYN, NY 11221-1156
(718) 574-1956
Mailing address
452 MADISON ST APT 1B, BROOKLYN, NY 11221-1142
(718) 574-1956
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
101YM0800X
Mental Health Counselor
—
—
103TE1100X
Exercise & Sports Psychologist
—
—
104100000X
Social Worker
—
—
133N00000X
Nutritionist
—
—
133NN1002X
Nutrition Education Nutritionist
—
—
171M00000X
Case Manager/Care Coordinator
—
—
172V00000X
Community Health Worker
—
—
251B00000X
Case Management Agency
—
—
Other
Enumeration date
11/08/2017
Last updated
11/08/2017
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