| Doctor Name: | MR. ESKER JAY FARRIS |
| NPI Number: | 1013242114 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | MA |
| License Number: | |
| Business Practice Address: | 2255 Crain Hwy Suite 107 Waldorf, MD - 206013164 |
| Business Phone Number: | 3012922778 |
| Business Fax Number: | |
| Mailing Address: | 10105 Garden Valley Ct, CHELTENHAM |
| State: | MD |
| Postal Code: | 206231233 |
| Phone Number: | 3017824575 |
| Fax Number: | |
| NPI Enumeration Date: | 10/07/2009 |
| NPI Last Update Date: | 10/07/2009 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101YP2500X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | Professional |
| Taxonomy Definition: | |