ETHAN ELLINGER

PORTSMOUTH, OH
NPI1356014534
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: OH  177699)
Enumeration Date2021-07-26
Last Update Date2021-07-26
Business Address
ETHAN ELLINGER C,D,C,A
519 COURT ST
PORTSMOUTH, OH 45662-3933
Phone number: 740-876-4370
Mailing Address
ETHAN ELLINGER C,D,C,A
519 COURT ST
PORTSMOUTH, OH 45662-3933
Phone number: 740-876-4370
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