Individual
MARYE F JAGOW
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPCC, CDCA
Contact information
Practice address
4334 WEST CENTRAL AVE., STE 211, TOLEDO, OH 43615
(734) 854-7061
(530) 654-7061
Mailing address
6530 SECOR RD., STE 10, LAMBERTVILLE, MI 48144
(734) 854-7061
(530) 654-7061
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
E0008284
OH
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
OH
101YP2500X
Professional Counselor
Primary
E.0008284
OH
Other
Enumeration date
05/06/2010
Last updated
05/16/2012
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