Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
JASON GRUNDSTROM-WHITNEY, LADC/LSW
Active Sole ProprietorJASON GRUNDSTROM-WHITNEY, LADC/LSW is a Addiction (Substance Use Disorder) Counselor healthcare provider located in AUGUSTA, Maine. NPI 1144766734 is currently active in the NPPES registry. Verify at CMS.
Addiction (Substance Use Disorder) Counselor · AUGUSTA, ME
Registration Details
- NPI Number
- 1144766734
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jan 6, 2017 (9.587890715046 yrs)
- Last Updated
- Jan 6, 2017
- License
-
LC3358 (ME)
- Sole Proprietor
- Yes
Practice Information
- Address
-
250 ARSENAL STAUGUSTA, ME, 043305742Browse ME providers · Browse ZIP 04330
- Phone
- 2076243999
- Primary Specialty
-
Addiction (Substance Use Disorder) Counselor
101YA0400X
Other Addiction (Substance Use Disorder) Counselor Providers in AUGUSTA, ME
| Name | Credential | NPI |
|---|---|---|
| ROBERT MICHAEL LONG | LCPC/LADC | 1073527867 |
| ELIZABETH WARE KOOPMAN | LCPC/CADC | 1851303432 |
| SUSAN GARRY | LADC | 1104922293 |
| DAVID LAWRENCE | LADC | 1740327816 |
| JEFF RANCOURT | LADC | 1972724706 |
| JODIE LYNN HART | LADC | 1285809921 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.