Jason Allan Lennox, LCDP
Counselor, Addiction (Substance Use Disorder) in Coventry, RI. Individual provider (NPI-1).
NPI number1164063913
StatusActive
Last updated in NPPESOct 2, 2019
Details
- NPI
- 1164063913
- Entity type
- Individual (NPI-1)
- Name
- Jason Allan Lennox
- Credential
- LCDP
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Oct 2, 2019
- Last updated
- Oct 2, 2019
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 101YA0400X | Counselor, Addiction (Substance Use Disorder) | CDP00809 | RI | Yes |
Practice location
191 Macarthur BlvdCoventry, RI 02816-7244
Phone 401-828-5335
Mailing address
51 Eastgate DrWarwick, RI 02886-1271
Phone 401-636-7037
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