Individual
JEFFREY ROGER CORMIER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
2100 N RIDGE RD, ELYRIA, OH 44035-1241
(440) 324-1300
Mailing address
2100 N RIDGE RD, ELYRIA, OH 44035-1241
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
—
—
175T00000X
Peer Specialist
Primary
APS.00581
OH
Other
Enumeration date
04/23/2025
Last updated
05/12/2025
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