Individual
JAMIE DENISE LASSITER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CDCA
Contact information
Practice address
3445 S MAIN ST, COVENTRY TWP, OH 44319-3028
(330) 644-4095
Mailing address
3445 S MAIN ST, COVENTRY TWP, OH 44319-3028
(330) 644-4095
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
CDCA185708
OH
Other
Enumeration date
11/10/2023
Last updated
11/10/2023
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