Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Polly L Jason, PEERSUPPORTER

Individual provider Addiction (Substance Use Disorder) Counselor · NPI 1407465826

Polly L Jason, PEERSUPPORTER is an Addiction (Substance Use Disorder) Counselor in Lakewood, Ohio. Practices as a sole proprietor. Licensed in Ohio.

Licensed in
OH
In the registry since
2020

Practice location Address checks out

11720 Edgewater Dr Apt 816
Lakewood, OH 44107-6730
Phone: (216) 798-0759
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Addiction (Substance Use Disorder) Counselor (primary) Taxonomy 101YA0400X · Licence 0001575 (OH)

Record details

NPI number1407465826
Entity typeIndividual (Type 1)
GenderFemale
Credentials PEERSUPPORTER
Sole proprietorYes
NPI enumeratedJuly 31, 2020
Last updated in NPPESJuly 31, 2020
Certification dateJuly 31, 2020

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