Individual
JACK STREETER III
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1293 COPLEY RD, AKRON, OH 44320-2766
(330) 374-1199
Mailing address
1293 COPLEY RD, AKRON, OH 44320-2766
(330) 374-1199
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
C.0701085
OH
Other
Enumeration date
12/19/2016
Last updated
12/19/2016
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