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Richard Jastrzebski

Counselor, Addiction (Substance Use Disorder) in Owosso, MI. Individual provider (NPI-1).

NPI number1124497490
StatusActive
Last updated in NPPESSep 17, 2015

Details

NPI
1124497490
Entity type
Individual (NPI-1)
Name
Richard Jastrzebski
Sex
Male
Sole proprietor
Yes
Enumeration date
Sep 17, 2015
Last updated
Sep 17, 2015

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
101YA0400X Counselor, Addiction (Substance Use Disorder)––Yes

Practice location

120 W Exchange St
Ste 300
Owosso, MI 48867-2834

Phone 989-723-8239

Mailing address

507 S Cedar St
Owosso, MI 48867-3403

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