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Individual
JASON W BOLT
Active
Individual
JASON W BOLT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PRS
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
CDCA.196883
OH
175T00000X
Peer Specialist
APS.005074
OH
Other
Enumeration date
05/14/2024
Last updated
08/20/2026
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