Individual
JASON GERNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LCADC
Contact information
Practice address
90 W AFTON AVE, YARDLEY, PA 19067-1421
(877) 636-9322
Mailing address
2327 ILENE LN, ATCO, NJ 08004-1229
(856) 669-4988
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
37-LC00217300
NJ
Other
Enumeration date
01/08/2016
Last updated
01/08/2016
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