Grundstrom-Whitney, Jason

Grundstrom-Whitney, Jason is an sole proprietor health care provider with primary practice located at 250 Arsenal St , Augusta ME 04330-5742. 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. Grundstrom-Whitney, Jason can be contacted via phone (207) 624-3999.

Contact Information

Primary practice address
250 Arsenal St Augusta ME 04330-5742
Phone: (207) 624-3999
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X LC3358 Maine

Profile Details

NPI number 1144766734
LBN Legal business name Grundstrom-Whitney, Jason
Credentials LADC/LSW
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jan 6th, 2017
Last updated Jan 6th, 2017 - about 8 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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