Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 101YA0400X | Addiction Counselor (Substance Use Disorder) | 167821 | OH |
NPI | 1003394321 |
---|---|
Provider Name | Andrew T Finley |
First Address | Ironton, OH 45638-1446 |
Second Address | Ironton, OH 45638-2019 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 30/07/2018 |
Last Update Date | 30/07/2018 |