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Organization
UPPER VALLEY MEDICAL CENTER
Active
Organization
UPPER VALLEY MEDICAL CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
REGIAN KRAUS (EXEC. DIRECTOR OF BEHAVIORAL HEALTH)
(937) 440-7626
Entity
Organization
Contact information
Practice address
3130 N COUNTY ROAD 25A, TROY, OH 45373-1337
(937) 440-7626
Mailing address
3130 N COUNTY ROAD 25A, P.O. BOX 128, TROY, OH 45373-1337
(937) 440-7626
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
C-0001543
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
C-0001543
LPC LICENSE
OH
Enumeration date
10/31/2006
Last updated
08/22/2020
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