JAHNAE ALEXIS MATLOCK

WILLOUGHBY, OH
NPI1568905420
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: OH  LICDC.161066)
Additional Taxonomies101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: OH  161066)
Enumeration Date2016-11-28
Last Update Date2023-07-21
Business Address
JAHNAE ALEXIS MATLOCK LICDC
38886 MENTOR AVE
WILLOUGHBY, OH 44094-7875
Phone number: 833-510-4357
Mailing Address
JAHNAE ALEXIS MATLOCK LICDC
4600 MONTGOMERY RD STE 400
CINCINNATI, OH 45212-2600
Phone number: