JUSTIN LAVERY

MARION, OH
NPI1295183275
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor Addiction (Substance Use Disorder)
(Licence: OH  150878)
Enumeration Date2016-05-31
Last Update Date2016-05-31
Business Address
JUSTIN LAVERY CDCA
320 EXECUTIVE DR
MARION, OH 43302-6310
Phone number: 740-387-5210
Mailing Address
JUSTIN LAVERY CDCA
320 EXECUTIVE DR
MARION, OH 43302-6310
Phone number: 740-387-5210
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