Individual
JASON KMENTT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
209 W WOODLAND AVE, YOUNGSTOWN, OH 44502-1866
(330) 787-9180
Mailing address
24 N MARYLAND AVE, YOUNGSTOWN, OH 44509-2414
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
Other
Enumeration date
12/27/2017
Last updated
12/27/2017
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