JONATHAN DEWALT

SHELBY, OH
NPI1962165795
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: OH  CDCA.178277)
Enumeration Date2021-10-19
Last Update Date2021-10-19
Business Address
JONATHAN DEWALT
2775 STATE ROUTE 39
SHELBY, OH 44875-9466
Phone number: 417-747-3322
Mailing Address
JONATHAN DEWALT
2775 STATE ROUTE 39
SHELBY, OH 44875-9466
Phone number: 417-747-3322
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