SearchOhio101YA0400X

Jalen Lawson, CDCA

NPI 1912747346 · on the registry since 2024 · sole proprietor

Practice

Address
7175 State Route 104
Mc Dermott, OH 45652
Phone
(740) 858-6683
Organisation at this address
Moving Forward Residential Llc
Inferred from a shared address, not stated in the registry.
Clinicians at this address
10

Additional practice sites

  • 9620 Careys Run Pond Creek Rd, Mc Dermott, OH

Registry record

Primary taxonomy
101YA0400X
101YA0400X
Also registered as
101YM0800X
Licence states on file
OH
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2024-05-31

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Ohio