KEVIN RAY ANDERSON

GALLIPOLIS, OH
NPI1134902992
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: OH  CDCA.185401)
Enumeration Date2023-08-16
Last Update Date2023-08-16
Business Address
KEVIN RAY ANDERSON
1354 JACKSON PIKE
GALLIPOLIS, OH 45631-2601
Phone number: 740-441-9800
Mailing Address
KEVIN RAY ANDERSON
1354 JACKSON PIKE
GALLIPOLIS, OH 45631-2601
Phone number: 740-441-9800
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