Individual
JALEN LAWSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
CDCA
Contact information
Practice address
7175 STATE ROUTE 104, MC DERMOTT, OH 45652-8899
(740) 858-6683
Mailing address
PO BOX 402, WHEELERSBURG, OH 45694-0402
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
CDCA.188665
OH
101YM0800X
Mental Health Counselor
—
OH
Other
Enumeration date
05/31/2024
Last updated
05/31/2024
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