Individual
MR. JASON S DELANCEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PCCS, CCDC - I
Contact information
Practice address
817 KILBOURNE ST, SUITE G, BELLEVUE, OH 44811-9431
(419) 483-9411
(419) 483-9247
Mailing address
304 CIRCULAR ST, TIFFIN, OH 44883-3000
(419) 443-8983
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
001431
OH
101YM0800X
Mental Health Counselor
Primary
E0003750
OH
Other
Enumeration date
04/11/2007
Last updated
09/11/2025
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