Doctor Name: | JASON FRANCIS SCHWARTZ |
NPI Number: | 1013335652 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | LMSW |
License Number: | |
Business Practice Address: | 6633 Stony Creek Rd Ypsilanti, MI - 481976609 |
Business Phone Number: | 7344858725 |
Business Fax Number: | |
Mailing Address: | 11245 W Clements Cir, LIVONIA |
State: | MI |
Postal Code: | 481503100 |
Phone Number: | 7347761679 |
Fax Number: | |
NPI Enumeration Date: | 04/01/2014 |
NPI Last Update Date: | 04/01/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YA0400X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Addiction (Substance Use Disorder) |
Taxonomy Definition: |