Individual provider · Type 1 NPI
Polly L. Jason, PEER SUPPORTER
Addiction (Substance Use Disorder) Counselor · Lakewood, OH
NPI number
1407465826
Active
Practice location
11720 Edgewater Dr Apt 816
Lakewood, OH 44107-6730
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Addiction (Substance Use Disorder) Counselor Primary | 101YA0400X | 0001575 (OH) |
Addiction (Substance Use Disorder) Counselor: Definition to come...
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About NPI 1407465826
Polly L. Jason, PEER SUPPORTER's National Provider Identifier is 1407465826, issued on Jul 31, 2020. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Lakewood, OH. The record was last updated on Jul 31, 2020.