DRAKE TANNER

SHELBY, OH
NPI1922708601
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: OH  CDCA.183488)
Enumeration Date2023-03-09
Last Update Date2023-03-09
Business Address
DRAKE TANNER
2775 STATE ROUTE 39
SHELBY, OH 44875-9466
Phone number: 419-747-3322
Mailing Address
DRAKE TANNER
2775 STATE ROUTE 39
SHELBY, OH 44875-9466
Phone number: 419-747-3322