Individual
MR. GREGORY W RUNYON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LCDC. III 162038
Contact information
Practice address
2903 S 5TH ST, IRONTON, OH 45638-2866
(740) 646-6640
(866) 475-7263
Mailing address
2903 S 5TH ST, IRONTON, OH 45638-2866
(740) 646-6640
(866) 475-7263
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
LCDCIII.162038
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0295280
—
OH
Enumeration date
01/30/2018
Last updated
08/19/2024
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