Individual
MRS. HOLLY JEAN ROUSH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CDCA
Contact information
Practice address
102 CATTAIL RD, CHILLICOTHE, OH 45601-9404
(800) 321-8293
Mailing address
1385 JOHNSON HILL RD, WAVERLY, OH 45690-9114
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
167830
OH
104100000X
Social Worker
Primary
S.2202411-TRNE
OH
Other
Enumeration date
11/07/2018
Last updated
06/03/2022
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