Individual
JAMIE COLLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LSW
Contact information
Practice address
800 GALLIA ST STE 600, PORTSMOUTH, OH 45662-4097
(740) 353-4673
Mailing address
800 GALLIA ST STE 600, PORTSMOUTH, OH 45662-4097
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
CDCA.141615
OH
104100000X
Social Worker
Primary
—
—
Other
Enumeration date
02/23/2018
Last updated
10/12/2023
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