Individual
MS. JENNIFER LYNN GRADEN I
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CDCA
Contact information
Practice address
732 MAIN ST, TOLEDO, OH 43605-2397
(419) 691-0600
Mailing address
732 MAIN ST, TOLEDO, OH 43605-2397
(419) 691-0600
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
CDCA.172974
OH
Other
Enumeration date
05/17/2021
Last updated
05/17/2021
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