JERMAINE MCCOLLUM

NEW YORK, NY
NPI1063885671
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date2015-11-04
Last Update Date2015-11-04
Business Address
-- JERMAINE MCCOLLUM
598 BROADWAY FL 2
NEW YORK, NY 10012-3363
Phone number: 212-966-9537
Mailing Address
-- JERMAINE MCCOLLUM
598 BROADWAY
NEW YORK, NY 10012-3351
Phone number: 718-785-7124