Individual
JARED M DUNFORD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
CDCA
Contact information
Practice address
6694 TAYLOR RD, CLINTON, OH 44216-9201
(234) 369-9500
Mailing address
6694 TAYLOR RD, CLINTON, OH 44216-9201
(234) 369-9500
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
161819
OH
Other
Enumeration date
10/17/2022
Last updated
10/17/2022
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