TIMOTHY KYLE STACY

CHILLICOTHE, OH
NPI1710540422
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: OH  169687)
Enumeration Date2019-04-18
Last Update Date2019-04-18
Business Address
Mr. TIMOTHY KYLE STACY cdca
46 E WATER ST
CHILLICOTHE, OH 45601-2544
Phone number: 740-656-8015
Mailing Address
Mr. TIMOTHY KYLE STACY cdca
340 WESTERN AVE
CHILLICOTHE, OH 45601-2347
Phone number: 740-656-8015
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