| NPI | 1407482326 |
|---|---|
| Former Name | JESSCA DEVON MCCARTHY |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: OH CDCA.167724) |
| Enumeration Date | 2020-03-23 |
| Last Update Date | 2020-03-27 |