Individual
JASON R ROCKWELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
2701 17TH STREET, ROCK ISLAND, IL 61201
(309) 779-2031
Mailing address
1226 26TH STREET, BETTENDORF, IA 52722
(563) 639-8916
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
Other
Enumeration date
09/01/2018
Last updated
09/01/2018
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