MRS. Nirupma Jetley, LCDCIII

NPI #1003190174 in Perrysburg, Ohio

Provider Information

NPI Number
1003190174
Entity Type
Individual
Name
MRS. Nirupma Jetley, LCDCIII
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Counselor - Addiction (Substance Use Disorder)
Credential
LCDCIII
Enumeration Date
Oct 6, 2011
Last Updated
Oct 6, 2011

Practice Location

Address
27072 CARRONADE DR
State
Ohio
ZIP Code
43551-5300
Phone
(419) 872-2419

Specialties & Taxonomy Codes

Specialty
Counselor - Addiction (Substance Use Disorder)Addiction (Substance Use Disorder)

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