Individual
JASON CROWELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LADC/LMSW
Contact information
Practice address
226 DIXWELL AVE, NEW HAVEN, CT 06511-3456
(475) 224-9229
(203) 503-3442
Mailing address
226 DIXWELL AVE, NEW HAVEN, CT 06511-3456
(475) 224-9229
(203) 503-3442
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
001414
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
001414
—
CT
Enumeration date
06/29/2021
Last updated
07/28/2021
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