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NPI Code Detail

MEDICARE: WES JARRELL LCDC II

MEDICARE: WES JARRELL LCDC II
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1101YA0400XAddiction (Substance Use Disorder) CounselorLCDCII.161330OH

General Provider Information

NPI Number : 1801246301
Entity Type Code : Individual
Provider Name (Legal Business Name) : WES JARRELL LCDC II
Provider Business Mailing Address
First Line : 5888 CLEVELAND AVE
Second Line :
City : COLUMBUS
State : OH
Zip : 43231-2860
Country : US
Telephone Number : 614-882-4343
Fax Number :
Provider Business Practice Location Address
First Line : 5888 CLEVELAND AVE
Second Line :
City : COLUMBUS
State : OH
Zip : 43231-2860
Country : US
Telephone Number : 614-882-4343
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/15/2016
Last Update Date : 03/18/2026

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