Individual
JASON MATTHEW CULP
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LPC
Contact information
Practice address
28922 LORAIN RD STE 102, NORTH OLMSTED, OH 44070-4054
(440) 360-7500
Mailing address
6422 SILVERSTONE LN, MEDINA, OH 44256-5537
(440) 653-7470
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
C.1100309
OH
101YP2500X
Professional Counselor
Primary
C.1100309
OH
Other
Enumeration date
06/02/2023
Last updated
06/22/2023
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