Individual
JOSE FLORES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
OCPS CDCA CPRS TTS
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
090235
OH
405300000X
Prevention Professional
Primary
OCPS.1178
OH
Other
Enumeration date
06/26/2015
Last updated
09/06/2023
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