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1790238079
JASON EVELETH
LATHAM, NY
NPI
1790238079
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YM0800X Counselor, Mental Health
(Licence: NY 007336-1)
Enumeration Date
2016-08-03
Last Update Date
2019-07-29
Business Address
JASON EVELETH Ms. Ed, LMHC
713 TROY SCHENECTADY RD STE 224
LATHAM, NY 12110-2490
Phone number: 518-785-5881
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Mailing Address
JASON EVELETH Ms. Ed, LMHC
711 TROY SCHENECTADY RD STE 203
LATHAM, NY 12110-2461
Phone number: 518-782-3110
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