Individual
JAKOB BUCHANAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1254 S MAIN ST, BRYAN, OH 43506-2441
(440) 260-6835
Mailing address
434 EASTLAND RD, BEREA, OH 44017-1217
(440) 234-2006
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
172V00000X
Community Health Worker
—
—
Other
Enumeration date
07/24/2023
Last updated
07/24/2023
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