Jason Jock
Counselor, Addiction (Substance Use Disorder) in Malone, NY. Individual provider (NPI-1).
NPI number1750103636
StatusActive
Last updated in NPPESOct 30, 2024
Details
- NPI
- 1750103636
- Entity type
- Individual (NPI-1)
- Name
- Jason Jock
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Oct 30, 2024
- Certification date
- Oct 30, 2024
- Last updated
- Oct 30, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 101YA0400X | Counselor, Addiction (Substance Use Disorder) | – | – | Yes |
Practice location
125 Finney BlvdMalone, NY 12953-1067
Phone 518-481-8160
Mailing address
324 County Route 51 Bldg 1Malone, NY 12953-4502
Phone 518-483-1251
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- Jessica Lynn DelisleNPI 1275385957
- Elise Dufresne, CASAC-TNPI 1922754878
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All 23 Addiction (Substance Use Disorder) Counselor providers in Malone · All 746 providers in Malone
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