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Search › Ohio › 101YA0400X

Jason Iannantuono, CDCA

NPI 1699904789 · on the registry since 2009 · sole proprietor

Practice

Address
800 Pro Dr
Celina, OH 45822
Phone
(419) 586-4030
Fax
(419) 586-3268
Organisation at this address
Gateway Outreach Center
Lima Memorial Professional Corporation
Mercer County Alcohol & Drug Abuse Center Inc.
Inferred from a shared address, not stated in the registry.
Clinicians at this address
4

Registry record

Primary taxonomy
101YA0400X
101YA0400X
Licence states on file
OH
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2009-07-09

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Ohio