JAHNAE ALEXIS MATLOCK

MENTOR, OH
NPI1568905420
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
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 Date2024-11-05
Business Address
JAHNAE ALEXIS MATLOCK LICDC
9083 MENTOR AVE
MENTOR, OH 44060-6462
Phone number: 440-255-0678
Mailing Address
JAHNAE ALEXIS MATLOCK LICDC
9083 MENTOR AVE
MENTOR, OH 44060-6462
Phone number: