JOHN THADDEUS STORMS

ELIZABETHTOWN, KY
NPI1932641008
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor Addiction (Substance Use Disorder)
Enumeration Date2016-11-07
Last Update Date2016-11-10
Business Address
MR. JOHN THADDEUS STORMS
107 CRANES ROOST CT
ELIZABETHTOWN, KY 42701-3650
Phone number: 270-765-2605
Mailing Address
MR. JOHN THADDEUS STORMS
107 CRANES ROOST CT
ELIZABETHTOWN, KY 42701-3650
Phone number:
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