JASON M DELUCA

AUSTINTOWN, OH
NPI1053956219
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor Addiction (Substance Use Disorder)
(Licence: OH  171361)
Enumeration Date2019-11-12
Last Update Date2019-11-12
Business Address
JASON M DELUCA
5760 PATRIOT BLVD
AUSTINTOWN, OH 44515-1170
Phone number: 330-953-0243
Mailing Address
JASON M DELUCA
3239 MAIN ST
MINERAL RIDGE, OH 44440-9748
Phone number: 330-885-3009
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