JERMAINE MCCOLLUM
NPI 1063885671
Counselor - Addiction (Substance Use Disorder) in New York, NY

Q: What is the provider's specialty?

The provider's specialty is Counselor with taxonomy code 101YA0400X and a focus in Addiction (Substance Use Disorder).

Active since November 04, 2015

598 BROADWAY FL 2, NEW YORK, NY 10012(212) 966-9537 Get Directions Write a Review

NPPES record last updated: November 4, 2015. Verified against the NPPES registry weekly; last sync: July 19, 2026.

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About Jermaine Mccollum NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

JERMAINE MCCOLLUM (NPI 1063885671) is an individual addiction (substance use disorder) provider in New York, New York and active in the NPI registry since November 2015.

NPPES Registry Identity

NPI1063885671

Entity TypeIndividualMale

Primary Taxonomy101YA0400X

Provider Legal NameJERMAINE MCCOLLUM

Location Address598 BROADWAY FL 2New York, NY 10012-3363

Mailing Address598 BroadwayNew York, NY 10012-3351 · (718) 785-7124

Phone(212) 966-9537

Sole ProprietorNo

Enumeration DateNovember 4, 2015

✔ NPI 1063885671 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Addiction (Substance Use Disorder)Behavioral Health & Social Service Providers

Taxonomy Code101YA0400X

598 BROADWAY FL 2, New York, NY 10012

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Other Providers at the Same Location NPPES 8

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

HECTOR GONZALEZ LMSW

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