Individual
JENNA CHEYENNE BEAVER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2801 C CT, ASHTABULA, OH 44004-4577
(440) 998-0722
Mailing address
2801 C CT, ASHTABULA, OH 44004-4577
(440) 998-0722
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
182707
OH
Other
Enumeration date
11/21/2022
Last updated
11/21/2022
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