KANE TRAYLOR

PORTSMOUTH, OH
NPI1154143055
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: OH  CDCA.189989)
Enumeration Date2024-10-30
Last Update Date2024-10-30
Business Address
KANE TRAYLOR CDCA
6606 GALLIA ST
PORTSMOUTH, OH 45662-5646
Phone number: 606-585-8676
Mailing Address
KANE TRAYLOR CDCA
6606 GALLIA ST
PORTSMOUTH, OH 45662-5646
Phone number: 606-585-8676