JACOB GILMORE, LCDC III
Counselor - Addiction (Substance Use Disorder)
Active
Individual
NPI: 1396397527
Specialties
| Specialty | Code | Primary | License |
|---|---|---|---|
| Substance Abuse Rehabilitation Facility | 324500000X | No | 170920 (OH) |
| Counselor - Addiction (Substance Use Disorder) | 101YA0400X | Yes | LCDCIII162380 (OH) |
Frequently Asked Questions
NPI 1396397527 is the National Provider Identifier for JACOB GILMORE, LCDC III, a Counselor - Addiction (Substance Use Disorder) provider located in Warren, OH. This NPI was enumerated on July 9, 2019.
JACOB GILMORE, LCDC III practices at 4930 ENTERPRISE DR NW, Warren, OH 44481.
Quick Facts
- NPI
- 1396397527
- Type
- Individual
- Enumerated
- Jul 9, 2019
- Last Updated
- Mar 7, 2025
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