Individual
JASPER PERSON III
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
319 W MARKET ST, LIMA, OH 45801-4713
(614) 893-0408
Mailing address
319 W MARKET ST, LIMA, OH 45801-4713
(614) 893-0408
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
Other
Enumeration date
07/12/2023
Last updated
07/12/2023
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