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Individual
JESSE MCCOWN
Active
Individual
JESSE MCCOWN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
CDCA.178365
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
173794
OH
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
CDCA.178365
OH
101YM0800X
Mental Health Counselor
—
—
171M00000X
Case Manager/Care Coordinator
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0406281
—
OH
Enumeration date
06/10/2020
Last updated
01/27/2022
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