Individual
PATRICK D JAGLA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
600 FRANKLIN ST STE 204, SCHENECTADY, NY 12305-2100
(518) 372-7031
(518) 372-7064
Mailing address
9 PINERIDGE TRAILER COURT, SCOTIA, NY 12302
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
36996-T
NY
Other
Enumeration date
05/25/2023
Last updated
04/10/2024
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