Jason Lee Anthony
Jason Lee Anthony is a Counselor in Moosic, Pennsylvania. Licensed in California and Pennsylvania. Registered with an NPI since 2020.
- Licensed in
- CA, PA
- In the registry since
- 2020
- Specialties on file
- 2
Practice location Address checks out
340 Montage Mountain RdMoosic, PA 18507-1707
Phone: (570) 346-3686
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Social Worker (primary) | Taxonomy 104100000X · Licence SW141008 (PA) |
|---|---|
| Counselor | Taxonomy 101Y00000X · Licence ASW106094 (CA) |
Record details
| NPI number | 1073128872 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | No |
| NPI enumerated | September 9, 2020 |
| Last updated in NPPES | March 7, 2024 |
| Certification date | March 7, 2024 |
| Mailing address | 340 Montage Mountain Rd, Moosic, PA 18507-1707 |
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