Individual
BIANCA TEETERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
228 N BARRON ST, EATON, OH 45320-1704
(937) 456-7694
Mailing address
228 N BARRON ST, EATON, OH 45320-1704
(937) 456-7694
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
150435
OH
Other
Enumeration date
01/13/2016
Last updated
01/13/2016
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