Jah-See Martin
Counselor, Addiction (Substance Use Disorder) in Bronx, NY. Individual provider (NPI-1).
NPI number1164024626
StatusActive
Last updated in NPPESNov 10, 2020
Details
- NPI
- 1164024626
- Entity type
- Individual (NPI-1)
- Name
- Jah-See Martin
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Nov 10, 2020
- Certification date
- Nov 10, 2020
- Last updated
- Nov 10, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 101YA0400X | Counselor, Addiction (Substance Use Disorder) | – | – | Yes |
Practice location
804 E 138th StBronx, NY 10454-1932
Phone 718-292-2401
Mailing address
775 Saint Anns Ave Apt DBronx, NY 10456-7681
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