JACOB MICHAEL SHELLEY

XENIA, OH
NPI1265132211
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: OH  CDCA.183560)
Enumeration Date2023-03-08
Last Update Date2023-03-08
Business Address
JACOB MICHAEL SHELLEY CDCA
2960 W ENON RD
XENIA, OH 45385-8548
Phone number: 937-272-4925
Mailing Address
JACOB MICHAEL SHELLEY CDCA
2960 W ENON RD
XENIA, OH 45385-8548
Phone number: 937-272-4925
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