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Individual

MR. JAMES TAKACS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
LICDC-CS

Contact information

Practice address
62 E STEVENS ST, NEWARK, OH 43055-5969
(740) 366-7303
(740) 366-7305
Mailing address
35 JONQUIL DR SW, ETNA, OH 43062
(740) 927-5507

Taxonomy

Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
88436
OH

Other

Enumeration date
04/06/2016
Last updated
04/06/2016
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