Provider Demographics
NPI:1841730413
Name:JAMRON COUNSELING
Entity type:Organization
Organization Name:JAMRON COUNSELING
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:COLIN
Authorized Official - Middle Name:
Authorized Official - Last Name:JAMRON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:774-364-1000
Mailing Address - Street 1:119 TAAFFE PL
Mailing Address - Street 2:1L
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11205-1493
Mailing Address - Country:US
Mailing Address - Phone:774-364-1000
Mailing Address - Fax:
Practice Address - Street 1:252 JAVA ST
Practice Address - Street 2:331
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11222-5424
Practice Address - Country:US
Practice Address - Phone:774-364-1000
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-03-02
Last Update Date:2017-03-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY005792101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Single Specialty