Provider Demographics
NPI:1033474713
Name:ALMONTE, JASON
Entity type:Individual
Prefix:
First Name:JASON
Middle Name:
Last Name:ALMONTE
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:288 LAWRENCE ST
Mailing Address - Street 2:2ND FL
Mailing Address - City:LAWRENCE
Mailing Address - State:MA
Mailing Address - Zip Code:01841-1119
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:288 LAWRENCE ST
Practice Address - Street 2:2ND FL
Practice Address - City:LAWRENCE
Practice Address - State:MA
Practice Address - Zip Code:01841-1119
Practice Address - Country:US
Practice Address - Phone:978-828-2484
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-07-10
Last Update Date:2012-07-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor
No103T00000XBehavioral Health & Social Service ProvidersPsychologist
No104100000XBehavioral Health & Social Service ProvidersSocial Worker