Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 101YA0400X | Addiction Counselor (Substance Use Disorder) | CDCA170044 | OH |
NPI | 1003470220 |
---|---|
Provider Name | William G Hock |
First Address | South Point, OH 45680-9409 |
Second Address | South Point, OH 45680-9409 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 23/04/2019 |
Last Update Date | 23/04/2019 |