Individual
JASON ROBERT HASKINS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CDCA
Contact information
Practice address
1 ELIZABETH PL, DAYTON, OH 45417-3445
(609) 667-8522
Mailing address
215 ODLIN AVE, DAYTON, OH 45405-2726
(609) 667-8522
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
CDCA.180099
OH
Other
Enumeration date
01/06/2023
Last updated
01/06/2023
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