Individual
MR. JEROME J VERDIER SR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LLM DSP
Contact information
Practice address
2211 LAKE CLUB DR STE 105, COLUMBUS, OH 43232-3204
(614) 501-3850
Mailing address
2211 LAKE CLUB DR STE 105, COLUMBUS, OH 43232-3204
(202) 607-9458
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
—
Other
Enumeration date
05/18/2024
Last updated
05/18/2024
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