person
Polly L Jason, PEERSUPPORTER
Addiction (Substance Use Disorder) Counselor in Lakewood, Ohio
NPI 1407465826

Polly L Jason is an Addiction (Substance Use Disorder) Counselor based in Lakewood, OH and is specialized in Addiction (Substance Use Disorder). Polly L Jason practices in Lakewood, OH and has the professional credentials of PEERSUPPORTER. The NPI Number for Polly L Jason is 1407465826 and holds a License No. 0001575 (Ohio).

The current practice location address for Polly L Jason is 11720 Edgewater Dr Apt 816, Lakewood, OH and can be reached out via phone at 216-798-0759.

Location: 11720 Edgewater Dr Apt 816, Lakewood, OH, 44107-6730
person
Provider Profile Details
NPI Number
1407465826
Provider Name
Polly L Jason
Credential
PEERSUPPORTER
Provider Entity Type
Individual
Gender
Female
Address
11720 Edgewater Dr Apt 816, Lakewood, OH, 44107-6730
Phone Number
216-798-0759
Fax Number
Provider Enumeration Date
07/31/2020
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
11720 Edgewater Dr Apt 816
City
State
Zip
44107-6730
Phone Number
216-798-0759
Fax Number
person
Provider Business Mailing Address Details
Address
11720 Edgewater Dr Apt 816
City
State
Zip
44107-6730
Phone Number
216-798-0759
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Addiction (Substance Use Disorder)
Taxonomy
License No.
0001575 (Ohio)
Definition
Definition to come...
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