Individual
BRANDON JONES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CM, COMM, LCSW,PRES,
Contact information
Practice address
51 E 125TH ST, NEW YORK, NY 10035-1685
(212) 470-1465
(646) 921-3189
Mailing address
1075 WEBSTER AVE # 4B5, BRONX, NY 10456-5931
(212) 470-1465
(646) 921-3189
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
0001135
NY
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
001135
NYS DOH
NY
Enumeration date
09/19/2022
Last updated
10/08/2024
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