TIMOTHY E JERVIS

NEW ROCHELLE, NY
NPI1790317956
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: NY  32080)
Enumeration Date2020-02-06
Last Update Date2020-02-06
Business Address
TIMOTHY E JERVIS CASAC-T CRPA-P
20 SICKLES AVE
NEW ROCHELLE, NY 10801-4030
Phone number: 914-613-0700
Mailing Address
TIMOTHY E JERVIS CASAC-T CRPA-P
14 AMSTERDAM PL APT 4A
MOUNT VERNON, NY 10553-1474
Phone number: 646-271-3281
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