Individual
JOANN SIMONE JERSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
38882 MENTOR AVE, WILLOUGHBY, OH 44094-7875
(440) 953-9999
Mailing address
38882 MENTOR AVE, WILLOUGHBY, OH 44094-7875
(440) 953-9999
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
C.1801080-TRNE
OH
Other
Enumeration date
05/23/2018
Last updated
05/23/2018
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