Individual
JEFFREY PAUL PATRICK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
11470 COUNTY ROAD 1, CHESAPEAKE, OH 45619-7010
(740) 550-4991
Mailing address
11470 COUNTY ROAD 1, CHESAPEAKE, OH 45619-7010
(740) 550-4991
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
CDCA.190494
OH
Other
Enumeration date
11/05/2024
Last updated
11/05/2024
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