TERRY MUSTARD JR.

WAVERLY, OH
NPI1932612389
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date2017-11-08
Last Update Date2017-11-08
Business Address
TERRY MUSTARD JR. CDCA, QMHS
14572 STATE ROUTE 23
WAVERLY, OH 45690
Phone number: 740-947-7581
Mailing Address
TERRY MUSTARD JR. CDCA, QMHS
14572 STATE ROUTE 23
WAVERLY, OH 45690
Phone number: 740-947-7581
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