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Individual
ETHAN J HOVEST
Active
Individual
ETHAN J HOVEST
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LCDCIII
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
LCDCIII.161388
OH
225400000X
Rehabilitation Practitioner
Primary
—
NULL
Other
Enumeration date
01/17/2018
Last updated
12/19/2022
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