Individual provider · Type 1 NPI

Jasmine Gilliam

Addiction (Substance Use Disorder) Counselor · Warren, OH

NPI number 1700692324 Active

Practice location

2737 Youngstown Rd SE
Warren, OH 44484-5002

Mailing address

16 Arms Blvd Apt 10
Niles, OH 44446-5328

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor Primary 101YA0400XCDCA.188553 (OH)

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

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About NPI 1700692324

Jasmine Gilliam's National Provider Identifier is 1700692324, issued on Dec 9, 2024. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Warren, OH. The record was last updated on Dec 9, 2024.