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1346913498
CHAD NICKELL
SPRINGFIELD, OH
NPI
1346913498
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: OH CDCA.176504)
Enumeration Date
2021-07-26
Last Update Date
2021-07-26
Business Address
CHAD NICKELL
2317 E HOME RD
SPRINGFIELD, OH 45503-2520
Phone number: 937-390-8060
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Mailing Address
CHAD NICKELL
2317 E HOME RD
SPRINGFIELD, OH 45503-2520
Phone number: 937-250-4244
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