Timothy E Jervis, CASAC-TCRPA-P
Timothy E Jervis, CASAC-TCRPA-P is an Addiction (Substance Use Disorder) Counselor in New Rochelle, New York. Practices as a sole proprietor. Licensed in New York.
- Licensed in
- NY
- In the registry since
- 2020
Practice location Address checks out
20 Sickles AveNew Rochelle, NY 10801-4030
Phone: (914) 613-0700
Fax: (914) 355-5425
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Specialties & licences
| Addiction (Substance Use Disorder) Counselor (primary) | Taxonomy 101YA0400X · Licence 32080 (NY) |
|---|
Record details
| NPI number | 1790317956 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Credentials | CASAC-TCRPA-P |
| Sole proprietor | Yes |
| NPI enumerated | February 6, 2020 |
| Last updated in NPPES | February 6, 2020 |
| Certification date | February 6, 2020 |
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