Individual
JEFFREY GRACE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
CDCA
Contact information
Practice address
960 BOARDMAN CANFIELD RD, BOARDMAN, OH 44512-4220
(330) 259-8813
Mailing address
98 WESTCHESTER DR, YOUNGSTOWN, OH 44515-3901
(330) 259-8813
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
163775
OH
Other
Enumeration date
09/27/2017
Last updated
09/27/2017
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