Individual
EUGENE H. TERRY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
2034 PORTAGE RD APT 4, WOOSTER, OH 44691-1921
(330) 345-2179
Mailing address
2034 PORTAGE RD APT 4, WOOSTER, OH 44691-1921
(330) 345-2179
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
150272
OH
Other
Enumeration date
02/02/2018
Last updated
02/02/2018
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