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Individual

JASON LEE PARIS

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
BSW, DP-C

Contact information

Practice address
863 N PINE RD STE A, ESSEXVILLE, MI 48732-2159
(989) 928-3566
Mailing address
863 N PINE RD STE A, ESSEXVILLE, MI 48732-2159
(989) 928-3566
(989) 391-9596

Taxonomy

Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary

Other

Enumeration date
01/02/2018
Last updated
01/02/2018
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