Individual
MR. JASON CHARLES LAVIOLETTE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
3086 CRANBERRY HWY, EAST WAREHAM, MA 02538-4801
(508) 295-7990
Mailing address
40C CARRIAGE DR, NEW BEDFORD, MA 02740-1819
(508) 264-1630
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
Other
Enumeration date
06/07/2010
Last updated
06/07/2010
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