Individual
JACOB LALONDE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1425 STARR AVE, TOLEDO, OH 43605-2456
(419) 693-0631
Mailing address
1425 STARR AVE, TOLEDO, OH 43605-2456
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
Other
Enumeration date
09/16/2019
Last updated
09/16/2019
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