Individual
JADE A. FAUL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LSW, LCDCII
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
CDCA.167840
OH
101YA0400X
Addiction (Substance Use Disorder) Counselor
LCDCII.161729
OH
104100000X
Social Worker
Primary
S.2208261
OH
Other
Enumeration date
09/26/2018
Last updated
03/27/2023
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