Individual
MR. JASON L AVINA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PC
Contact information
Practice address
123 22ND ST, TOLEDO, OH 43604-2706
(419) 241-6191
Mailing address
123 22ND ST, TOLEDO, OH 43604-2706
(419) 241-6191
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
C0601074
OH
Other
Enumeration date
03/27/2008
Last updated
03/27/2008
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