Individual
THOMAS JASON ROBERT ALLISON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LAADC-CA, ICADC
Contact information
Practice address
100 BREWSTER BLVD, CAMP LEJEUNE, NC 28547-2575
(910) 449-9492
Mailing address
100 BREWSTER BLVD, CAMP LEJEUNE, NC 28547-2575
(910) 449-9492
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
710850
CA
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
LCI0151214
CA
Other
Enumeration date
11/04/2015
Last updated
02/07/2025
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