Individual
JAYLON VALDEZ SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
JS
Contact information
Practice address
2865 W BROAD ST, COLUMBUS, OH 43204-2643
(614) 875-2371
Mailing address
2865 W BROAD ST, COLUMBUS, OH 43204-2643
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
05/22/2023
Last updated
05/22/2023
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