MR. JAY ALAN EASON LADCPMSWPMHPACADC NPI 1962607069

NPI Information

MR. Jay Alan Eason, LADC,PMSW,PMHP,ACADC is an addiction (substance use disorder) counselor in Omaha, NE. MR. Jay Alan Eason, LADC,PMSW,PMHP,ACADC NPI is 1962607069. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

2602 J ST
OMAHA, NE
ZIP 68107-643
Phone: (402) 734-5275
Fax: (402) 734-5708

The NPI 1962607069 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS).

The enumeration date for this NPI number is 6/19/2007 and was last updated on 7/8/2007.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

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