Individual
MR. JASON VIDAL HARRIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
CDCA
Contact information
Practice address
1710 PROSPECT AVE E, CLEVELAND, OH 44115-2322
(216) 781-2121
Mailing address
1710 PROSPECT AVE E, CLEVELAND, OH 44115-2322
(216) 781-2121
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
CDCA181132
OH
Other
Enumeration date
07/08/2022
Last updated
07/08/2022
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