Individual
JAY ROSS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
502 MCCARTY LN STE 1, JACKSON, OH 45640-7025
(740) 577-9003
Mailing address
502 MCCARTY LN STE 1, JACKSON, OH 45640-7025
(740) 577-9003
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
Other
Enumeration date
11/15/2022
Last updated
11/15/2022
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