Individual
ANDY JAMES KILLIAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
CDCA
Contact information
Practice address
430 N BROADWAY ST STE B, GREEN SPRINGS, OH 44836-9734
(419) 307-9128
Mailing address
102 WAGNER AVE APT C, SANDUSKY, OH 44870-6319
(419) 975-1079
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
CDCA.186155
OH
Other
Enumeration date
12/07/2023
Last updated
12/07/2023
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