Individual
JACQUELINE ANN STRACK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2005 ASHLAND AVE, TOLEDO, OH 43620-1703
(419) 841-7701
Mailing address
2005 ASHLAND AVE, TOLEDO, OH 43620-1703
(419) 841-7701
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
CDCA.181368
OH
104100000X
Social Worker
—
OH
171M00000X
Case Manager/Care Coordinator
—
—
Other
Enumeration date
03/22/2019
Last updated
04/02/2024
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