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1730954546
JASON MATTHEW PHILLIPS
ELYRIA, OH
NPI
1730954546
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
101YM0800X Counselor Mental Health
(Licence: OH C.2305059-TRNE)
Enumeration Date
2023-11-21
Last Update Date
2023-11-21
Business Address
JASON MATTHEW PHILLIPS MH COUNSELOR INTERN
628 POPLAR ST
ELYRIA, OH 44035-4065
Phone number: 440-366-1106
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Mailing Address
JASON MATTHEW PHILLIPS MH COUNSELOR INTERN
13004 BERLIN RD
BERLIN HEIGHTS, OH 44814-9511
Phone number: 419-588-2682
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