Individual
MR. JEFFREY J JERABEK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LICDC-CS
Contact information
Practice address
2500 AVON BELDEN RD, GRAFTON, OH 44044-9802
(440) 748-5747
Mailing address
2500 AVON BELDEN RD, GRAFTON, OH 44044-9802
(440) 748-5747
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
976002
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
976002
OHIO CHEMICAL DEPENDENCY PROFESSIONALS BOARD
OH
Enumeration date
09/09/2014
Last updated
09/09/2014
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