Individual
JASON THOMPSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PEER SPECIALIST
Contact information
Practice address
5760 PATRIOT BLVD, AUSTINTOWN, OH 44515-1170
(330) 953-0243
Mailing address
1108 HOMEWORTH RD, ALLIANCE, OH 44601-9076
(330) 687-0841
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
—
OH
Other
Enumeration date
04/03/2020
Last updated
04/03/2020
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