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1780391615
JACOB COPENHAVER
CLEVELAND, OH
NPI
1780391615
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2022-10-31
Last Update Date
2022-10-31
Business Address
JACOB COPENHAVER CDCA
2020 CARNEGIE AVE LOWR
CLEVELAND, OH 44115-2337
Phone number: 216-859-9500
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Mailing Address
JACOB COPENHAVER CDCA
2020 CARNEGIE AVE LOWR
CLEVELAND, OH 44115-2337
Phone number: 216-859-9500
Copy
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