Individual
JOSE FLORES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
OCPS CDCA CPRS TTS
Contact information
Practice address
2115 W PARK DR, LORAIN, OH 44053-1138
(440) 989-4900
Mailing address
2115 W PARK DR, LORAIN, OH 44053-1138
(440) 989-4900
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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