| Doctor Name: | JASON WIREN |
| NPI Number: | 1184862799 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | CAC I |
| License Number: | |
| Business Practice Address: | 974 Winslow Ter Sugar Hill, GA - 305186320 |
| Business Phone Number: | 4042349099 |
| Business Fax Number: | |
| Mailing Address: | 974 Winslow Ter, SUGAR HILL |
| State: | GA |
| Postal Code: | 305186320 |
| Phone Number: | 4042349099 |
| Fax Number: | |
| NPI Enumeration Date: | 02/04/2009 |
| NPI Last Update Date: | 02/04/2009 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101YA0400X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | Addiction (Substance Use Disorder) |
| Taxonomy Definition: | |