JACKSON L HUECKEL

STATEN ISLAND, NY
NPI1366188591
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date2022-05-10
Last Update Date2022-05-10
Business Address
JACKSON L HUECKEL CRPA-P
285 VANDERBILT AVE
STATEN ISLAND, NY 10304-2525
Phone number: 718-981-4382
Mailing Address
JACKSON L HUECKEL CRPA-P
20 STRATFORD AVE APT A
STATEN ISLAND, NY 10301-3831
Phone number: 718-354-0923
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