JASON ROBERT PHELAN

PRINCE FREDERICK, MD
NPI1053734897
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date2014-01-30
Last Update Date2014-01-30
Business Address
Mr. JASON ROBERT PHELAN BA-ADP
975 SOLOMONS ISLAND RD N
PRINCE FREDERICK, MD 20678-3917
Phone number: 410-535-3079
Mailing Address
Mr. JASON ROBERT PHELAN BA-ADP
PO BOX 1158
PRINCE FREDERICK, MD 20678-1158
Phone number: 410-535-3079
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