JASON RICHARD SHIREY

WAVERLY, OH
NPI1083114318
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: OH  165736)
Enumeration Date2018-02-13
Last Update Date2018-02-13
Business Address
JASON RICHARD SHIREY CDCA
14574 US HIGHWAY 23
WAVERLY, OH 45690-9373
Phone number: 740-912-9126
Mailing Address
JASON RICHARD SHIREY CDCA
130 DAVIS CAMP RD
LUCASVILLE, OH 45648-9015
Phone number:
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