Individual
JORGE LUIS DELGADO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CASAC 2
Contact information
Practice address
3178 BAYVIEW AVE APT 6B, BROOKLYN, NY 11224-1838
(347) 583-5551
Mailing address
3178 BAYVIEW AVE APT 6B, BROOKLYN, NY 11224-1838
(347) 583-5551
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
26090
NY
Other
Enumeration date
07/09/2020
Last updated
07/09/2020
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