PHILLIP COLLISON

FREMONT, OH
NPI1649863515
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: OH  175391)
Enumeration Date2021-02-11
Last Update Date2021-02-11
Business Address
PHILLIP COLLISON CDCA
206 N CLOVER ST
FREMONT, OH 43420-2407
Phone number: 419-334-4644
Mailing Address
PHILLIP COLLISON CDCA
206 N CLOVER ST
FREMONT, OH 43420-2407
Phone number: 419-334-4644
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