Individual provider · Type 1 NPI
Jason Clevenger
Addiction (Substance Use Disorder) Counselor · Glen Rose, TX
NPI number
1902722689
Active
Practice location
1555 County Road 2006
Glen Rose, TX 76043-6201
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Contractor | 171W00000X | 11017 (TX) |
| Addiction (Substance Use Disorder) Counselor Primary | 101YA0400X | 11017 (TX) |
Addiction (Substance Use Disorder) Counselor: Definition to come...
About NPI 1902722689
Jason Clevenger's National Provider Identifier is 1902722689, issued on Jun 26, 2026. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Glen Rose, TX. The record was last updated on Jun 26, 2026.