Individual provider · Type 1 NPI

Jason Matthew Phillips, MH COUNSELOR INTERN

Mental Health Counselor · Elyria, OH

NPI number 1730954546 Active

Practice location

41315 N Ridge Rd
Elyria, OH 44035-1242

Fax (440) 366-7632

Mailing address

PO Box 72767
Cleveland, OH 44192-0004

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XC.2406590 (OH)

Mental Health Counselor: Definition to come...

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About NPI 1730954546

Jason Matthew Phillips, MH COUNSELOR INTERN's National Provider Identifier is 1730954546, issued on Nov 21, 2023. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Elyria, OH. The record was last updated on Apr 16, 2026.