Individual
JASON MACKALL JOYCE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PCC-S, LCDC III
Contact information
Practice address
6811 HIGHLAND DR, INDEPENDENCE, OH 44131-6318
(740) 317-3997
Mailing address
6811 HIGHLAND DR, INDEPENDENCE, OH 44131-6318
(740) 317-3997
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
OH
101YP2500X
Professional Counselor
Primary
C-0500521
OH
Other
Enumeration date
11/07/2006
Last updated
12/17/2010
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