Provider Demographics
NPI:1609520287
Name:TUMA, JASON BRADLEY (MA)
Entity Type:Individual
Prefix:
First Name:JASON
Middle Name:BRADLEY
Last Name:TUMA
Suffix:
Gender:M
Credentials:MA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:92 GREYMONT LN APT 308
Mailing Address - Street 2:
Mailing Address - City:ASHEVILLE
Mailing Address - State:NC
Mailing Address - Zip Code:28806-0261
Mailing Address - Country:US
Mailing Address - Phone:540-252-9783
Mailing Address - Fax:
Practice Address - Street 1:92 GREYMONT LN APT 308
Practice Address - Street 2:
Practice Address - City:ASHEVILLE
Practice Address - State:NC
Practice Address - Zip Code:28806-0261
Practice Address - Country:US
Practice Address - Phone:540-252-9783
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-02-11
Last Update Date:2022-02-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NCA17359101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional