Individual provider · Type 1 NPI

Jason Robert Phelan, BA-ADP

Addiction (Substance Use Disorder) Counselor · Prince Frederick, MD

NPI number 1053734897 Active

Practice location

975 Solomons Island Rd N
Prince Frederick, MD 20678-3917

Fax (410) 535-2220

Mailing address

PO Box 1158
Prince Frederick, MD 20678-1158

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor Primary 101YA0400XNone listed

Addiction (Substance Use Disorder) Counselor: Definition to come...

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About NPI 1053734897

Jason Robert Phelan, BA-ADP's National Provider Identifier is 1053734897, issued on Jan 30, 2014. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Prince Frederick, MD. The record was last updated on Jan 30, 2014.