Individual
JASON MICHAEL FROST
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LCMHC-A, LCAS-A
Contact information
Practice address
377 HOSPITAL ST STE 100, MOCKSVILLE, NC 27028-2194
(336) 751-5636
Mailing address
284 EXECUTIVE PARK DR STE 100, CONCORD, NC 28025-1833
(704) 939-1100
(704) 939-1173
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
LCAS-29669
NC
101YP2500X
Professional Counselor
Primary
A19911
NC
Other
Enumeration date
05/01/2024
Last updated
05/01/2024
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