MICAH CHRISTIAN

VINCENT, OH
NPI1225760093
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: OH  181106)
Enumeration Date2022-06-29
Last Update Date2022-06-29
Business Address
MICAH CHRISTIAN
4945 STATE ROUTE 339
VINCENT, OH 45784-5106
Phone number: 740-993-0399
Mailing Address
MICAH CHRISTIAN
514 N MAIN ST
MALTA, OH 43758-9081
Phone number: