Individual
JOHN MARSHALL SPEROS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
3121 W BROAD ST, COLUMBUS, OH 43204-1306
(614) 869-2002
Mailing address
328 E WOODROW AVE, COLUMBUS, OH 43207-1968
(510) 514-4521
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
CDCA.186297
OH
175T00000X
Peer Specialist
Primary
APS.004894
OH
Other
Enumeration date
02/29/2024
Last updated
02/29/2024
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