Individual
JEANLUC PAUL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1520 HAWTHORNE AVE, COLUMBUS, OH 43203-1762
(614) 589-4846
Mailing address
319 SPRINGBORO LN, COLUMBUS, OH 43235-4663
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
184451
OH
Other
Enumeration date
07/24/2023
Last updated
07/24/2023
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