Individual
JAELYN WHITESIDE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
2515 N MAIN ST, FINDLAY, OH 45840-3972
(567) 371-4418
Mailing address
530 S MAIN ST, LIMA, OH 45804-1240
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
Other
Enumeration date
06/14/2021
Last updated
06/18/2021
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