Storm, Jason

Storm, Jason is an individual health care provider with primary practice located at 2303 Kalamazoo Ave Se , Grand Rapids MI 49507-3780. He recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), Behavioral Health & Social Service Providers / Clinical. Behavioral Health & Social Service Providers / Clinical is his primary health care specialty. Storm, Jason can be contacted via phone (616) 965-8390.

Contact Information

Primary practice address
2303 Kalamazoo Ave Se Grand Rapids MI 49507-3780
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X 6801098349 Michigan
Behavioral Health & Social Service Providers / Clinical 1041C0700X 6801098349 Michigan

Profile Details

NPI number 1487038741
LBN Legal business name Storm, Jason
Credentials LMSW, CAADC
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 16th, 2015
Last updated Apr 4th, 2018 - 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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