JONATHAN ELLWOOD

COLUMBUS, OH
NPI1104483890
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date2019-05-29
Last Update Date2019-05-29
Business Address
JONATHAN ELLWOOD
16 W LONG ST
COLUMBUS, OH 43215-2815
Phone number: 614-225-0990
Mailing Address
JONATHAN ELLWOOD
1709 KENNY RD APT C
COLUMBUS, OH 43212-1308
Phone number: 614-558-1923
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