MICHAEL K DURHAM

SAFETY HARBOR, FL
NPI1386499309
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: OH  LICDC.923266)
Enumeration Date2024-04-22
Last Update Date2024-04-22
Business Address
MICHAEL K DURHAM LICDC-CS
3113 STATE ROAD 580 LOT 355
SAFETY HARBOR, FL 34695-5929
Phone number: 419-709-6648
Mailing Address
MICHAEL K DURHAM LICDC-CS
3113 STATE ROAD 580 LOT 355
SAFETY HARBOR, FL 34695-5929
Phone number: 419-709-6648
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