RICHARD FAUNTLEROY

COLUMBUS, OH
NPI1255772620
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: OH  976038)
Enumeration Date2013-07-12
Last Update Date2013-07-12
Business Address
-- RICHARD FAUNTLEROY licdc
309 S 4TH ST STE 222
COLUMBUS, OH 43215-5428
Phone number: 614-221-9804
Mailing Address
-- RICHARD FAUNTLEROY licdc
309 S 4TH ST STE 222
COLUMBUS, OH 43215-5428
Phone number: 614-221-9804
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