Individual
DAN RICHARD BISE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
CDCA
Contact information
Practice address
101 1/2 W MAIN ST, CIRCLEVILLE, OH 43113-1619
(740) 420-9490
Mailing address
101 1/2 W MAIN ST, CIRCLEVILLE, OH 43113-1619
(740) 420-9490
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
CDCA.169362
OH
Other
Enumeration date
01/14/2019
Last updated
01/14/2019
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