Individual
JASON C WEBER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.ED.
Contact information
Practice address
3 W STIMSON AVE, SUITE 3, ATHENS, OH 45701-2679
(740) 856-1463
(740) 856-1463
Mailing address
272 HIGHLAND AVE, ATHENS, OH 45701-1632
(740) 856-1463
(740) 856-1463
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
981054
OH
101YM0800X
Mental Health Counselor
Primary
E0007373
OH
101YP2500X
Professional Counselor
E0007373
OH
Other
Enumeration date
09/17/2013
Last updated
09/17/2013
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