JASON MATTHEW PHILLIPS

ELYRIA, OH
NPI1730954546
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy101YM0800X Counselor, Mental Health
(Licence: OH  C.2305059-TRNE)
Enumeration Date2023-11-21
Last Update Date2023-11-21
Business Address
JASON MATTHEW PHILLIPS MH Counselor Intern
628 POPLAR ST
ELYRIA, OH 44035-4065
Phone number: 440-366-1106
Mailing Address
JASON MATTHEW PHILLIPS MH Counselor Intern
13004 BERLIN RD
BERLIN HEIGHTS, OH 44814-9511
Phone number: 419-588-2682