Individual
MR. D'ANTHONY JAMISON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
CASAC-T
Contact information
Practice address
633 WALTON AVE, 2ND FLOOR, BRONX, NY 10451-5235
(347) 805-3524
Mailing address
633 WALTON AVE, 2ND FLOOR, BRONX, NY 10451-5235
(347) 805-3524
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
27712
NY
Other
Enumeration date
10/04/2012
Last updated
10/04/2012
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