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1770175770
JESSE COOK
PORTSMOUTH, OH
NPI
1770175770
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: OH CDCA.175659)
Enumeration Date
2021-02-10
Last Update Date
2021-02-10
Business Address
JESSE COOK CDCA
411 COURT ST
PORTSMOUTH, OH 45662-3932
Phone number: 740-354-6685
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Mailing Address
JESSE COOK CDCA
411 COURT ST
PORTSMOUTH, OH 45662-3932
Phone number: 740-354-6685
Copy
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