TYLER DOULES MONTGOMERY

PIKETON, OH
NPI1962992321
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date2018-05-11
Last Update Date2018-05-11
Business Address
TYLER DOULES MONTGOMERY
15221 STATE ROUTE 772
PIKETON, OH 45661-9062
Phone number: 740-493-4260
Mailing Address
TYLER DOULES MONTGOMERY
5219 MORGANS FORK RD
WAVERLY, OH 45690-9084
Phone number: 740-493-8032
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