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1023838349
JONATHAN HOLLEY
GALLIPOLIS, OH
NPI
1023838349
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: OH 190265)
Enumeration Date
2024-10-11
Last Update Date
2024-10-11
Business Address
JONATHAN HOLLEY
1336 JACKSON PIKE
GALLIPOLIS, OH 45631-2601
Phone number: 740-441-9800
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Mailing Address
JONATHAN HOLLEY
1336 JACKSON PIKE
GALLIPOLIS, OH 45631-2601
Phone number:
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