Individual
MR. SAMUEL G JAMISON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
CASAC
Contact information
Practice address
116 JOHN ST, NEW YORK, NY 10038-3300
(212) 964-0128
(212) 964-0112
Mailing address
116 JOHN ST, NEW YORK, NY 10038-3300
(212) 964-0128
(212) 964-0112
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
11304
NY
Other
Enumeration date
11/24/2010
Last updated
11/24/2010
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