Individual
JASMINE GILLIAM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2737 YOUNGSTOWN RD SE, WARREN, OH 44484-5002
(330) 369-8022
Mailing address
16 ARMS BLVD APT 10, NILES, OH 44446-5328
(330) 651-1266
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
CDCA.188553
OH
Other
Enumeration date
12/09/2024
Last updated
12/09/2024
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