MICHAEL KUKLICA

MARIETTA, OH
NPI1265843825
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy101YA0400X Counselor Addiction (Substance Use Disorder)
(Licence: OH  LCDC081080-2)
Enumeration Date2014-05-16
Last Update Date2014-05-16
Business Address
MICHAEL KUKLICA LCDC II
207 COLEGATE DR
MARIETTA, OH 45750-2363
Phone number: 740-376-0930
Mailing Address
MICHAEL KUKLICA LCDC II
PO BOX 1385
PARKERSBURG, WV 26102-1385
Phone number: 304-422-1405
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