Individual provider · Type 1 NPI

Jennifer L. Grooms, CDCA

Addiction (Substance Use Disorder) Counselor · Lorain, OH

NPI number 1669050373 Active

Practice location

2115 W Park Dr
Lorain, OH 44053-1138

Mailing address

6136 W River Rd S
Elyria, OH 44035-5432

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor Primary 101YA0400XLCDCII.161781 (OH)
Addiction (Substance Use Disorder) Counselor 101YA0400XCDCA.175731 (OH)

Addiction (Substance Use Disorder) Counselor: Definition to come...

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About NPI 1669050373

Jennifer L. Grooms, CDCA's National Provider Identifier is 1669050373, issued on Apr 1, 2021. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Lorain, OH. The record was last updated on May 3, 2022.