Individual
JASON GROVE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
CDCA
Contact information
Practice address
466 S ELM ST, HILLSBORO, OH 45133-1360
(937) 661-7108
Mailing address
466 S ELM ST, HILLSBORO, OH 45133-1360
(937) 661-7108
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
172123
OH
Other
Enumeration date
11/21/2019
Last updated
11/21/2019
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