Individual
JEFFREY S MCDONALD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CASAC
Contact information
Practice address
113 E 60TH ST, NEW YORK, NY 10022-1939
(917) 456-9288
Mailing address
113 E 60TH ST, NEW YORK, NY 10022-1939
(917) 456-9288
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
36085
NY
Other
Enumeration date
10/25/2023
Last updated
10/25/2023
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