ETHAN TATE

SPRINGFIELD, OH
NPI1912893421
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: OH  CDCA.192812)
Enumeration Date2025-06-13
Last Update Date2025-06-13
Business Address
ETHAN TATE
2624 LEXINGTON AVE
SPRINGFIELD, OH 45505-2620
Phone number: 937-328-5300
Mailing Address
ETHAN TATE
2624 LEXINGTON AVE
SPRINGFIELD, OH 45505-2620
Phone number: 937-328-5300
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