| Doctor Name: | MR. JASON WAYNE NEWMAN |
| NPI Number: | 1023453057 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | CERTIFIED |
| License Number: | 12268 |
| Business Practice Address: | 1301 Yosemite Pkwy Merced, CA - 953405203 |
| Business Phone Number: | 2097226335 |
| Business Fax Number: | 2097226371 |
| Mailing Address: | 1301 Yosemite Pkwy, MERCED |
| State: | CA |
| Postal Code: | 953405203 |
| Phone Number: | 2087226335 |
| Fax Number: | 2097226371 |
| NPI Enumeration Date: | 05/03/2013 |
| NPI Last Update Date: | 05/03/2013 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101YA0400X |
| License Number: | 12268 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | CA |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | Addiction (Substance Use Disorder) |
| Taxonomy Definition: | |