Individual
JAZMINE ALLEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CDCA.185222
Contact information
Practice address
1137 KINKER DR APT C, WHEELERSBURG, OH 45694-9255
(740) 285-7311
Mailing address
1137 KINKER DR APT C, WHEELERSBURG, OH 45694-9255
(740) 285-7311
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
CDCA185222
OH
Other
Enumeration date
09/28/2023
Last updated
09/28/2023
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