Individual
JASON SHELLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
3920 LOVERS LN, RAVENNA, OH 44266-4200
(330) 673-1347
Mailing address
3920 LOVERS LN, RAVENNA, OH 44266-4200
(330) 673-1347
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
CDCA.150199
OH
101YM0800X
Mental Health Counselor
C.1700263
OH
Other
Enumeration date
10/14/2016
Last updated
05/02/2018
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