Individual
MR. JAKE DELANO STREETER SR.
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
1063 PIERMONT RD, SOUTH EUCLID, OH 44121-2934
(216) 200-0627
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
C.2204089-TRNE
OH
101YP2500X
Professional Counselor
Primary
C.2305290
OH
Other
Enumeration date
06/08/2022
Last updated
07/12/2023
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