| NPI | 1396509329 |
|---|---|
| Other Name | JADE MARIE BURGER |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: OH CDCA.184814) |
| Enumeration Date | 2024-02-09 |
| Last Update Date | 2024-06-17 |