Individual
JASON ROY MOTT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
2970 E LAKE LANSING RD, EAST LANSING, MI 48823-7415
(517) 230-5695
Mailing address
1806 HAMILTON RD APT B2, OKEMOS, MI 48864-5808
(702) 469-4167
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
6401017823
MI
101YM0800X
Mental Health Counselor
Primary
6401223673
MI
Other
Enumeration date
03/29/2020
Last updated
08/08/2023
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