Individual
JASON MOGUS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LPCC, LICDC
Contact information
Practice address
180 W LISBON ST, WAYNESBURG, OH 44688-9354
(330) 826-1430
(330) 493-1154
Mailing address
180 W LISBON ST, WAYNESBURG, OH 44688-9354
(330) 826-1430
(330) 493-1154
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
E.2001870
OH
101YA0400X
Addiction (Substance Use Disorder) Counselor
CDCA.161082
OH
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
12/19/2016
Last updated
04/11/2021
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