Individual
JASON EDMOND SHERMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LADC
Contact information
Practice address
300 CHURCH STREET, SUITE 205, WALLINGFORD, CT 06492
(845) 489-8146
Mailing address
58 GREENE AVE APT B, CANAAN, CT 06018-2456
(845) 489-8146
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
44.001584
CT
101YM0800X
Mental Health Counselor
MSW.009853
CT
Other
Enumeration date
10/28/2024
Last updated
10/28/2024
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