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Individual

JACOB RAY

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
1323 CHAMPLAIN ST, TOLEDO, OH 43604-2041
(567) 806-5120
Mailing address
1323 CHAMPLAIN ST, TOLEDO, OH 43604-2041
(567) 806-5120

Taxonomy

Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary

Other

Enumeration date
07/03/2025
Last updated
07/03/2025
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