Individual
JASON ANTHONY GRIFFITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LSW
Contact information
Practice address
36 N DETROIT ST, XENIA, OH 45385-2909
(937) 610-4673
(937) 736-2615
Mailing address
3103 DIXIE HWY, HAMILTON, OH 45015-1653
(513) 892-4673
(513) 737-1107
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
S.1903600
OH
104100000X
Social Worker
Primary
S.1903600
OH
Other
Enumeration date
12/19/2018
Last updated
04/27/2021
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