JACOB NATHANIEL PARKER CARVER

ITHACA, NY
NPI1922631852
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date2020-02-19
Last Update Date2020-02-19
Business Address
Mr. JACOB NATHANIEL PARKER CARVER MSW
201 E GREEN ST # 500
ITHACA, NY 14850-5635
Phone number: 607-274-6288
Mailing Address
Mr. JACOB NATHANIEL PARKER CARVER MSW
201 E GREEN ST # 500
ITHACA, NY 14850-5635
Phone number: 607-274-6288
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