person
Mr. Jason B Detzel, BCBA
Mental Health Counselor in Ghent, New York
NPI 1558699553

Jason B Detzel is a Mental Health Counselor based in Ghent, NY and is specialized in Mental Health. Jason B Detzel practices in Ghent, NY and has the professional credentials of BCBA. The NPI Number for Jason B Detzel is 1558699553 and holds a License No. (New York).

The current practice location address for Jason B Detzel is 151 May Hill Rd, Ghent, NY and can be reached out via phone at 518-567-4506.

Location: 151 May Hill Rd, Ghent, NY, 12075-1912
person
Provider Profile Details
NPI Number
1558699553
Provider Name
Jason B Detzel
Credential
BCBA
Provider Entity Type
Individual
Gender
Male
Address
151 May Hill Rd, Ghent, NY, 12075-1912
Phone Number
518-567-4506
Fax Number
Provider Enumeration Date
12/02/2009
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
151 May Hill Rd
City
State
Zip
12075-1912
Phone Number
518-567-4506
Fax Number
person
Provider Business Mailing Address Details
Address
151 May Hill Rd
City
State
Zip
12075-1912
Phone Number
518-567-4506
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
License No.
()
Definition
Definition to come...
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