Provider Demographics
NPI:1104539618
Name:JASON DOLLARD AND ASSOCIATES, LLC
Entity type:Organization
Organization Name:JASON DOLLARD AND ASSOCIATES, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:JASON
Authorized Official - Middle Name:
Authorized Official - Last Name:DOLLARD
Authorized Official - Suffix:
Authorized Official - Credentials:LMFT
Authorized Official - Phone:401-525-6111
Mailing Address - Street 1:91 POINT JUDITH RD STE 26
Mailing Address - Street 2:
Mailing Address - City:NARRAGANSETT
Mailing Address - State:RI
Mailing Address - Zip Code:02882-3468
Mailing Address - Country:US
Mailing Address - Phone:401-525-6111
Mailing Address - Fax:401-354-2375
Practice Address - Street 1:91 POINT JUDITH RD STE 26
Practice Address - Street 2:
Practice Address - City:NARRAGANSETT
Practice Address - State:RI
Practice Address - Zip Code:02882-3468
Practice Address - Country:US
Practice Address - Phone:401-525-6111
Practice Address - Fax:401-354-2375
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-12-29
Last Update Date:2022-12-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family TherapistGroup - Single Specialty