JASON ROBERT CARMODY

ASHTABULA, OH
NPI1013414127
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: OH  141304)
Enumeration Date2018-04-06
Last Update Date2021-02-11
Business Address
JASON ROBERT CARMODY
2210 S RIDGE RD E
ASHTABULA, OH 44004-4459
Phone number: 513-834-7063
Mailing Address
JASON ROBERT CARMODY
615 ELSINORE PL STE 300
CINCINNATI, OH 45202-1475
Phone number: 513-834-7063
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