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Individual
JERRI LYNN STANLEY
Active
Individual
JERRI LYNN STANLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
LICDC.162275
OH
101YM0800X
Mental Health Counselor
Primary
S.2207800
OH
Other
Enumeration date
10/18/2006
Last updated
06/19/2024
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