Individual
ANTHONY WAYNE SYRUS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
499 JACKSON PIKE, GALLIPOLIS, OH 45631-1398
(740) 446-6471
Mailing address
266 COLONIAL DR APT 102, BIDWELL, OH 45614-9249
(740) 709-2009
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
001229
OH
Other
Enumeration date
04/25/2019
Last updated
04/25/2019
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