Individual
JAMES EDWARD PIRK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LCDC III
Contact information
Practice address
1 ELIZABETH PL, DAYTON, OH 45417-3445
(937) 813-1737
Mailing address
531 WENLAN CT, BEAVERCREEK, OH 45430-2014
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
LCDCIII.161365
OH
Other
Enumeration date
08/02/2017
Last updated
08/02/2017
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