Individual
MR. JASON ROBERT WHITE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
CADC
Contact information
Practice address
10 NEVELSON ST, ROCKLAND, ME 04841-5532
(207) 542-4301
(207) 626-8312
Mailing address
10 NEVELSON ST, ROCKLAND, ME 04841-5532
(207) 542-4301
(207) 626-8312
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
CAC5712
ME
Other
Enumeration date
06/01/2015
Last updated
06/01/2015
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