person
Jacob A Goyco
Addiction (Substance Use Disorder) Counselor in Massena, New York
NPI 1174256135

Jacob A Goyco is an Addiction (Substance Use Disorder) Counselor based in Massena, NY and is specialized in Addiction (Substance Use Disorder). Jacob A Goyco practices in Massena, NY. The NPI Number for Jacob A Goyco is 1174256135 and holds a License No. (New York).

The current practice location address for Jacob A Goyco is 17 Hospital Dr, Massena, NY and can be reached out via phone at 315-705-6564.

Location: 17 Hospital Dr, Massena, NY, 13662-1093
person
Provider Profile Details
NPI Number
1174256135
Provider Name
Jacob A Goyco
Credential
Provider Entity Type
Individual
Gender
Male
Address
17 Hospital Dr, Massena, NY, 13662-1093
Phone Number
315-705-6564
Fax Number
Provider Enumeration Date
07/07/2022
Last Update Date
03/10/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
141536222 01 NY WORK
institution
Provider Business Practice Location Address Details
Address
17 Hospital Dr
City
State
Zip
13662-1093
Phone Number
315-705-6564
Fax Number
person
Provider Business Mailing Address Details
Address
17 Hospital Dr
City
State
Zip
13662-1093
Phone Number
315-705-6564
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Addiction (Substance Use Disorder)
Taxonomy
License No.
()
Definition
Definition to come...
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