Individual
MR. DYLAN PELHAM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
741 SCHOLL RD, MANSFIELD, OH 44907
(419) 756-1717
Mailing address
741 SCHOLL RD, MANSFIELD, OH 44907-1571
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
140635
OH
104100000X
Social Worker
Primary
—
—
Other
Enumeration date
04/12/2016
Last updated
03/06/2019
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