Individual
JENNIFER RILEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4726 MAIN AVE, ASHTABULA, OH 44004-6929
(440) 578-8200
Mailing address
2801 C CT, ASHTABULA, OH 44004-4577
(440) 645-9704
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
—
OH
175T00000X
Peer Specialist
Primary
—
—
Other
Enumeration date
03/20/2023
Last updated
05/05/2023
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