Individual
JASON ALLAN LENNOX
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LCDP
Contact information
Practice address
191 MACARTHUR BLVD, COVENTRY, RI 02816-7244
(401) 828-5335
Mailing address
51 EASTGATE DR, WARWICK, RI 02886-1271
(401) 636-7037
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
CDP00809
RI
Other
Enumeration date
10/02/2019
Last updated
10/02/2019
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