Individual
JADE AURORA STORESINA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
867 MEADOW VIEW DR NW, CANAL FULTON, OH 44614-8695
(330) 324-5773
Mailing address
867 MEADOW VIEW DR NW, CANAL FULTON, OH 44614-8695
(330) 324-5773
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
CDCA.180164
OH
Other
Enumeration date
06/16/2022
Last updated
06/16/2022
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