JEREMY TYLER LITTERAL

DAYTON, OH
NPI1356950075
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor Addiction (Substance Use Disorder)
(Licence: OH  CDCA.174201)
Enumeration Date2020-07-28
Last Update Date2020-07-28
Business Address
JEREMY TYLER LITTERAL CDCA
1 ELIZABETH PL
DAYTON, OH 45417-3445
Phone number: 937-701-5558
Mailing Address
JEREMY TYLER LITTERAL CDCA
525 HILLRIDGE DR
FAIRBORN, OH 45324-5512
Phone number: 937-701-5558