PHILLIP STULTZ

WAVERLY, OH
NPI1104316736
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date2018-05-18
Last Update Date2018-05-18
Business Address
PHILLIP STULTZ
14572 US HIGHWAY 23 STE A
WAVERLY, OH 45690-9448
Phone number: 740-947-6727
Mailing Address
PHILLIP STULTZ
PO BOX 226
WAVERLY, OH 45690-0226
Phone number: 740-947-6727