KELLY D EDGELL

ZANESVILLE, OH
NPI1609377514
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: OH  LCDCIII.081187)
Enumeration Date2018-02-26
Last Update Date2018-02-26
Business Address
KELLY D EDGELL LCDCIII
601 UNDERWOOD ST
ZANESVILLE, OH 43701-3771
Phone number: 740-454-1266
Mailing Address
KELLY D EDGELL LCDCIII
601 UNDERWOOD ST
ZANESVILLE, OH 43701-3771
Phone number: