Individual provider · Type 1 NPI

Jason Grundstrom-Whitney, LADC/LSW

Addiction (Substance Use Disorder) Counselor · Augusta, ME

NPI number 1144766734 Active

Practice location

250 Arsenal St
Augusta, ME 04330-5742

Call (207) 624-3999 Map

Mailing address

37 Mikes Rd
Monmouth, ME 04259-7226

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor Primary 101YA0400XLC3358 (ME)

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

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About NPI 1144766734

Jason Grundstrom-Whitney, LADC/LSW's National Provider Identifier is 1144766734, issued on Jan 6, 2017. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Augusta, ME. The record was last updated on Jan 6, 2017.