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Individual

MRS. GEVETTE LOVE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
CDCA, COUNSELOR

Contact information

Practice address
3170 W CENTRAL AVE, TOLEDO, OH 43606-2945
(567) 316-7253
(567) 316-7232
Mailing address
112 SAN RAFAEL AVE, TOLEDO, OH 43607-2415
(419) 407-0077

Taxonomy

Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
CDCA.100811
OH
101Y00000X
Counselor
101YA0400X
Addiction (Substance Use Disorder) Counselor

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0277642
OH
Enumeration date
12/29/2016
Last updated
11/08/2021
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