JASON CLARK

MOUNT ORAB, OH
NPI1629741004
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date2021-07-30
Last Update Date2021-07-30
Business Address
JASON CLARK
149 MERCY BLVD
MOUNT ORAB, OH 45154-0296
Phone number: 119-377-1231
Mailing Address
JASON CLARK
149 MERCY BLVD
MOUNT ORAB, OH 45154-0296
Phone number: 119-377-1231