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Individual
JEROME MAURICE WEST
Active
Individual
JEROME MAURICE WEST
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OCPC, LCDC III
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
LCDCIII.161595
OH
171M00000X
Case Manager/Care Coordinator
W.1600042
OH
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0275747
—
OH
Enumeration date
12/06/2016
Last updated
02/28/2023
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