JEFFREY J KOSIBA

LORAIN, OH
NPI1619495603
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: OH  CDCA.161599)
Enumeration Date2017-08-30
Last Update Date2017-08-30
Business Address
JEFFREY J KOSIBA CDCA
2115 WESTPARK DRIVE
LORAIN, OH 44053
Phone number: 440-989-4987
Mailing Address
JEFFREY J KOSIBA CDCA
2115 W PARK DR
LORAIN, OH 44053-1138
Phone number: 440-989-4987
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