Jason O'Connor, CPRS
Peer Specialist in Martinsville, IN. Individual provider (NPI-1).
NPI number1023830833
StatusActive
Last updated in NPPESOct 31, 2024
Details
- NPI
- 1023830833
- Entity type
- Individual (NPI-1)
- Name
- Jason O'Connor
- Credential
- CPRS
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Oct 31, 2024
- Certification date
- Oct 31, 2024
- Last updated
- Oct 31, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 175T00000X | Peer Specialist | 3388 | IN | Yes |
Practice location
504 Grand Valley BlvdMartinsville, IN 46151-5883
Phone 609-864-5860
Mailing address
110 E Buchanan StPlainfield, IN 46168-1400
Phone 765-810-2458
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