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Individual

JUSTINE LYNN MINER

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LPC

Contact information

Practice address
2801 C CT, ASHTABULA, OH 44004-4577
(440) 998-4210
Mailing address
2801 C CT, ASHTABULA, OH 44004-4577
(440) 998-4210

Taxonomy

Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
C.2406085
OH
171M00000X
Case Manager/Care Coordinator

Other

Enumeration date
12/08/2020
Last updated
12/16/2024
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