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MR. JAMES ALEXIS KONNOFF

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
LCDCII

Contact information

Practice address
209 CENTER ST, CHARDON, OH 44024-1189
(440) 205-2670
(440) 285-8543
Mailing address
1614 MORRIS RD, KENT, OH 44240-4422
(435) 691-0200

Taxonomy

Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
LCDCII.151078
OH

Other

Enumeration date
03/27/2017
Last updated
03/27/2017
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