JASON R ROCKWELL

ROCK ISLAND, IL
NPI1124500566
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date2018-09-01
Last Update Date2018-09-01
Business Address
JASON R ROCKWELL
2701 17TH STREET
ROCK ISLAND, IL 61201
Phone number: 309-779-2031
Mailing Address
JASON R ROCKWELL
1226 26TH STREET
BETTENDORF, IA 52722
Phone number: 563-639-8916