JEREMY ELLISON

TOLEDO, OH
NPI1578130654
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: OH  CDCA.176721)
Enumeration Date2021-06-08
Last Update Date2021-06-21
Business Address
JEREMY ELLISON
115 S REYNOLDS RD
TOLEDO, OH 43615-6958
Phone number: 419-725-6631
Mailing Address
JEREMY ELLISON
4115 ARNELLE DR
TOLEDO, OH 43606-1004
Phone number: