Individual
JACQUELINE JASTES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PEER SUPPRT
Contact information
Practice address
1341 E 114TH ST, CLEVELAND, OH 44106-1323
(216) 906-1481
Mailing address
1341 E 114TH ST, CLEVELAND, OH 44106-1323
(216) 906-1481
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
APS.005836
OH
Other
Enumeration date
01/09/2025
Last updated
01/09/2025
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