person
Jerry Ross, CASAC2
Addiction (Substance Use Disorder) Counselor in New York, New York
NPI 1184165755

Jerry Ross is an Addiction (Substance Use Disorder) Counselor based in New York, NY and is specialized in Addiction (Substance Use Disorder). Jerry Ross practices in New York, NY and has the professional credentials of CASAC2. The NPI Number for Jerry Ross is 1184165755 and holds a License No. (New York).

The current practice location address for Jerry Ross is 2015 Madison Ave, New York, NY and can be reached out via phone at 212-690-4625.

Location: 2015 Madison Ave, New York, NY, 10035-1015
person
Provider Profile Details
NPI Number
1184165755
Provider Name
Jerry Ross
Credential
CASAC2
Provider Entity Type
Individual
Gender
Male
Address
2015 Madison Ave, New York, NY, 10035-1015
Phone Number
212-690-4625
Fax Number
Provider Enumeration Date
03/16/2017
Last Update Date
05/18/2024
institution
Provider Business Practice Location Address Details
Address
2015 Madison Ave
City
State
Zip
10035-1015
Phone Number
212-690-4625
Fax Number
person
Provider Business Mailing Address Details
Address
2015 Madison Ave
City
State
Zip
10035-1015
Phone Number
212-690-4625
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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