Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 101YA0400X | Addiction Counselor (Substance Use Disorder) | CDCA.174277 | OH |
NPI | 1003428483 |
---|---|
Provider Name | Thomas Mathew Meyer |
First Address | Chillicothe, OH 45601-0157 |
Second Address | Chillicothe, OH 45601-9666 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 18/08/2020 |
Last Update Date | 18/08/2020 |