Individual
MR. GARY ALLEN JAFFE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MA, LPC
Contact information
Practice address
6140 S BROADWAY, LORAIN, OH 44053-3821
(440) 233-7232
(440) 233-5552
Mailing address
78 CARR RD, HINCKLEY, OH 44233-9715
(330) 278-2116
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
C3632
OH
Other
Enumeration date
08/30/2006
Last updated
07/08/2007
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