Crowell, Jason

Crowell, Jason is an sole proprietor health care provider with primary practice located at 226 Dixwell Ave , New Haven CT 06511-3456. He recently has only one registered license in Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), which is considered as his primary health care specialty. Crowell, Jason can be contacted via phone (475) 224-9229.

Contact Information

Primary practice address
226 Dixwell Ave New Haven CT 06511-3456
Phone: (475) 224-9229
Fax: (203) 503-3442
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X 001414 Connecticut

Profile Details

NPI number 1184294456
LBN Legal business name Crowell, Jason
Credentials LADC/LMSW
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jun 29th, 2021
Last updated Jul 28th, 2021 - about 5 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1184294456 NPPES
Connecticut MEDICAID 001414

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