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1295362937
JESSE E GREATHOUSE
AUSTINTOWN, OH
NPI
1295362937
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: OH CDCA.170529)
Enumeration Date
2020-03-24
Last Update Date
2020-03-24
Business Address
JESSE E GREATHOUSE CDCA
5760 PATRIOT BLVD
AUSTINTOWN, OH 44515-1170
Phone number: 330-953-0243
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Mailing Address
JESSE E GREATHOUSE CDCA
150 CHARLES CT
NEWTON FALLS, OH 44444-1715
Phone number: 330-953-0243
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