Individual
JASON B HAMEL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.S., LADC I
Contact information
Practice address
940 BELMONT ST # 71C, BROCKTON, MA 02301-5596
(816) 989-0437
Mailing address
940 BELMONT ST # 71C, BROCKTON, MA 02301-5596
(781) 698-9043
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
—
—
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
14440
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1801224977
—
MA
Enumeration date
10/28/2013
Last updated
05/08/2019
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