JONATHAN LEATHERWOOD

WAVERLY, OH
NPI1821587973
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date2018-05-04
Last Update Date2018-05-04
Business Address
JONATHAN LEATHERWOOD
14572 US HIGHWAY 23 STE E
WAVERLY, OH 45690-9448
Phone number: 740-835-6363
Mailing Address
JONATHAN LEATHERWOOD
221 SAINT MARYS LN
WAVERLY, OH 45690-1052
Phone number: 740-222-2522
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