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JACOB GILMORE, LCDC III

LCDC III

Addiction (Substance Use Disorder) Counselor

NPI: 1396397527Individual

Specialties, Licenses & Credentials

Substance Abuse Rehabilitation Facility

Code: 324500000X

170920(OH)

Counselor — Addiction (Substance Use Disorder)

Code: 101YA0400X

LCDCIII162380(OH)
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Contact & Hours

Via practice · 2 locations total

Address
4930 ENTERPRISE DR NW
WARREN, OH 44481

Quick Facts

NPI
1396397527
Entity Type
Individual
Gender
Male
Medicare
Not confirmed
Specialties
2
Locations
2

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