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Johnny Ilijevski, QMHS

Community/Behavioral Health in Kent, OH. Individual provider (NPI-1).

NPI number1669968103
StatusActive
Last updated in NPPESJul 9, 2018

Details

NPI
1669968103
Entity type
Individual (NPI-1)
Name
Johnny Ilijevski
Credential
QMHS
Sex
Male
Sole proprietor
Yes
Enumeration date
Jul 9, 2018
Last updated
Jul 9, 2018

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
251S00000X Community/Behavioral Health––Yes

Practice location

6662 State Route 43
Kent, OH 44240-6137

Phone 330-956-7182

Mailing address

6662 State Route 43
Kent, OH 44240-6137

Phone 330-956-7182

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