Individual
MS. JENIFER GAYLE SOLOMON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PEER RECOVERY SUPPOR
Contact information
Practice address
1067 CLEVELAND AVE, AMHERST, OH 44001-1745
(440) 240-4869
Mailing address
1067 CLEVELAND AVE, AMHERST, OH 44001-1745
(440) 240-4869
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
0002024
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
175T00000X
—
OH
Enumeration date
05/19/2021
Last updated
05/19/2021
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