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Individual
JABARI NAGILA ANDERSON
Active
Individual
JABARI NAGILA ANDERSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PRS, CDCA, QMHS
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
CDCA.128189
OH
Other
Enumeration date
11/13/2023
Last updated
04/29/2025
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