Davis, Jason

Davis, Jason is an individual health care provider with primary practice located at 801 E Washington St , Medina OH 44256-3335. He recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Mental Health, Behavioral Health & Social Service Providers / Professional. Behavioral Health & Social Service Providers / Professional is his primary health care specialty. Davis, Jason can be contacted via phone (330) 722-1069.

Contact Information

Primary practice address
801 E Washington St Medina OH 44256-3335
Phone: (330) 722-1069
Fax: (330) 764-9712
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Health 101YM0800X C.1500589 Ohio
Behavioral Health & Social Service Providers / Professional 101YP2500X E.1901564 Ohio

Profile Details

NPI number 1235677279
LBN Legal business name Davis, Jason
Credentials L.P.C.C.
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 10th, 2017
Last updated Dec 16th, 2019 - about 7 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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