Individual
MR. JASON C. MYERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LISW-S
Contact information
Practice address
10701 EAST BLVD, CLEVELAND, OH 44106-1702
(216) 791-3800
Mailing address
2755 ERIE DR, FAIRLAWN, OH 44333-3512
(614) 352-6469
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
111058
OH
1041C0700X
Clinical Social Worker
Primary
I.0700227
OH
Other
Enumeration date
07/23/2009
Last updated
12/10/2015
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