ERIC OLIVER JEFFERSON

DAYTON, OH
NPI1528612819
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: OH  LCDCII161991)
Enumeration Date2019-07-25
Last Update Date2024-03-26
Business Address
Mr. ERIC OLIVER JEFFERSON LCDCII
4977 NORTHCUTT PL
DAYTON, OH 45414-3839
Phone number: 800-829-5461
Mailing Address
Mr. ERIC OLIVER JEFFERSON LCDCII
1592 SHILOH SPRINGS RD APT D
DAYTON, OH 45426-2043
Phone number: 937-266-5642
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