Provider Demographics
NPI:1477286854
Name:CARR, JAMAR (CASAC-T)
Entity Type:Individual
Prefix:
First Name:JAMAR
Middle Name:
Last Name:CARR
Suffix:
Gender:M
Credentials:CASAC-T
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:905 TINTON AVE APT 2C
Mailing Address - Street 2:
Mailing Address - City:BRONX
Mailing Address - State:NY
Mailing Address - Zip Code:10456-7418
Mailing Address - Country:US
Mailing Address - Phone:646-257-9831
Mailing Address - Fax:
Practice Address - Street 1:716 FAIRMOUNT PL
Practice Address - Street 2:
Practice Address - City:BRONX
Practice Address - State:NY
Practice Address - Zip Code:10457-6405
Practice Address - Country:US
Practice Address - Phone:718-731-3500
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-07-05
Last Update Date:2022-07-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)