person
Timothy E Jervis, CASAC-TCRPA-P
Addiction (Substance Use Disorder) Counselor in New Rochelle, New York
NPI 1790317956

Timothy E Jervis is an Addiction (Substance Use Disorder) Counselor based in Mount Vernon, NY and is specialized in Addiction (Substance Use Disorder). Timothy E Jervis practices in New Rochelle, NY and has the professional credentials of CASAC-TCRPA-P. The NPI Number for Timothy E Jervis is 1790317956 and holds a License No. 32080 (New York).

The current practice location address for Timothy E Jervis is 20 Sickles Ave, New Rochelle, NY and can be reached out via phone at 914-613-0700 and via fax at 914-355-5425.

Location: 20 Sickles Ave, New Rochelle, NY, 10553-1474
person
Provider Profile Details
NPI Number
1790317956
Provider Name
Timothy E Jervis
Credential
CASAC-TCRPA-P
Provider Entity Type
Individual
Gender
Male
Address
20 Sickles Ave, New Rochelle, NY, 10553-1474
Phone Number
914-613-0700
Fax Number
914-355-5425
Provider Enumeration Date
02/06/2020
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
20 Sickles Ave
City
State
Zip
10801-4030
Phone Number
914-613-0700
Fax Number
914-355-5425
person
Provider Business Mailing Address Details
Address
20 Sickles Ave
City
State
Zip
10801-4030
Phone Number
914-613-0700
Fax Number
914-355-5425
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Addiction (Substance Use Disorder)
Taxonomy
License No.
32080 (New York)
Definition
Definition to come...
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