Individual
GINA JOSE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
231 LAFAYETTE ST STE E, LONDON, OH 43140-8567
(740) 901-0844
Mailing address
231 LAFAYETTE ST STE E, LONDON, OH 43140-8567
(740) 901-0844
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
CDCA.193303
OH
171M00000X
Case Manager/Care Coordinator
—
—
Other
Enumeration date
08/17/2024
Last updated
12/11/2025
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