Individual
JACLYN TUBBS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
225 MENTOR AVE, PAINESVILLE, OH 44077-3105
(440) 352-7271
Mailing address
225 MENTOR AVE, PAINESVILLE, OH 44077-3105
(440) 352-7271
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
11/13/2017
Last updated
09/01/2023
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