IndividualActive
Jose Flores, OCPS CDCA CPRS TTS
NPI 1265814123 · Prevention Professional · Lorain, OH
Provider details
- NPI number
- 1265814123
- Entity type
- Individual
- Primary specialty
- Prevention ProfessionalOther Service Providers
- Credential
- OCPS CDCA CPRS TTS
- Sex
- Male
- Sole proprietor
- Yes
- License
- 090235 (OH)
Specialties & taxonomies
Other Service Providers
Behavioral Health & Social Service Providers
Practice location
2115 W Park Dr
Lorain, OH 44053-1138
Phone: (440) 989-4900
Approximate (ZIP-level) locationGet directions
Mailing address
2115 W Park Dr
Lorain, OH 44053-1138
Registry dates
- Enumerated
- 2015-06-26
- Last updated
- 2023-09-06
- Certified
- 2023-09-06
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.