Individual
JADE LINDSEY DEERHAKE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CPRS
Contact information
Practice address
3000 ELIDA RD STE 2, LIMA, OH 45805-1232
(419) 813-8009
(419) 597-5051
Mailing address
3000 ELIDA RD STE 2, LIMA, OH 45805-1232
(419) 813-8009
(419) 597-5051
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
CDCAPRE.195732
OH
175T00000X
Peer Specialist
APS.006377
OH
Other
Enumeration date
06/18/2025
Last updated
04/21/2026
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