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Individual

JEREMY ALLISON

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
CDCA

Contact information

Practice address
150 CHARLES CT, NEWTON FALLS, OH 44444-1715
(330) 953-0243
Mailing address
264 1ST ST, LAKE MILTON, OH 44429-9606

Taxonomy

Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
169445
OH

Other

Enumeration date
01/29/2019
Last updated
01/29/2019
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