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Individual
JEFFREY LANE CONRAD
Active
Individual
JEFFREY LANE CONRAD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LPC
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
C.0500644
OH
101YP2500X
Professional Counselor
C.0500644
OH
Other
Enumeration date
01/18/2018
Last updated
10/20/2023
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