KENNIE WASHINGTON

TOLEDO, OH
NPI1659748648
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: OH  090048)
Enumeration Date2015-08-26
Last Update Date2015-08-26
Business Address
-- KENNIE WASHINGTON
919 MADISON AVE
TOLEDO, OH 43604-5533
Phone number: 567-316-7253
Mailing Address
-- KENNIE WASHINGTON
3829 DREXEL DR
TOLEDO, OH 43612-1235
Phone number: