JASON KEATING

FAIRBORN, OH
NPI1093185100
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: OH  121035)
Additional Taxonomies1041C0700X Social Worker, Clinical
(Licence: OH  121035)
Enumeration Date2015-10-01
Last Update Date2015-10-01
Business Address
-- JASON KEATING
1082 WHITETAIL DR
FAIRBORN, OH 45324-8718
Phone number: 614-787-3247
Mailing Address
-- JASON KEATING
1082 WHITETAIL DR
FAIRBORN, OH 45324-8718
Phone number: 614-787-3247