Individual
JEFFREY C OLEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
6140 S BROADWAY, LORAIN, OH 44053-3821
(440) 233-7232
(440) 233-9070
Mailing address
6140 S BROADWAY, LORAIN, OH 44053-3821
(440) 233-7232
(440) 233-9070
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
LCDC.131154.3
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
LCDC.131154.3
LCDC.131154.3
OH
Enumeration date
08/28/2016
Last updated
01/14/2026
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