STEVEN SHANE PERNELL

PORTSMOUTH, OH
NPI1013605682
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: OH  cdca.184330)
Enumeration Date2023-05-01
Last Update Date2023-05-01
Business Address
STEVEN SHANE PERNELL
1616 GRANT ST
PORTSMOUTH, OH 45662-3663
Phone number: 740-901-0416
Mailing Address
STEVEN SHANE PERNELL
1616 GRANT ST
PORTSMOUTH, OH 45662-3663
Phone number: 740-901-0416