Individual
HATTIE VIRGINIA JARRELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1134 JACKSON PIKE, GALLIPOLIS, OH 45631-2600
(740) 446-9129
Mailing address
1134 JACKSON PIKE, GALLIPOLIS, OH 45631-2600
(740) 446-9129
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
CDCA.180943
OH
Other
Enumeration date
12/27/2022
Last updated
12/27/2022
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