ANTHONY WAYNE JUSTICE

PIKETON, OH
NPI1194236919
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: OH  164626)
Enumeration Date2017-10-19
Last Update Date2017-10-19
Business Address
ANTHONY WAYNE JUSTICE CDCA-pre
15221 STATE ROUTE 772
PIKETON, OH 45661-9062
Phone number: 740-493-4260
Mailing Address
ANTHONY WAYNE JUSTICE CDCA-pre
218 E NORTH ST
WAVERLY, OH 45690-1148
Phone number: 740-947-6727
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