Individual provider · Type 1 NPI
Jimmy Jay Christian, LCDCII
Addiction (Substance Use Disorder) Counselor · Elyria, OH
NPI number
1730794298
Active
Practice location
530 N Levitt Rd
Elyria, OH 44035
Fax (440) 328-4214
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | CDCA.170623 (OH) |
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | CDCA.173950 (OH) |
| Addiction (Substance Use Disorder) Counselor Primary | 101YA0400X | LCDCII.161739 (OH) |
Addiction (Substance Use Disorder) Counselor: Definition to come...
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About NPI 1730794298
Jimmy Jay Christian, LCDCII's National Provider Identifier is 1730794298, issued on Sep 11, 2020. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Elyria, OH. The record was last updated on Dec 12, 2024.