Individual
ERNEST MCDOUGAL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
255 W MAIN ST, SAINT CLAIRSVILLE, OH 43950-1040
(740) 695-9447
Mailing address
123 WETZEL ST, PADEN CITY, WV 26159-1817
(304) 771-2577
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
CDCA.168766
OH
Other
Enumeration date
12/04/2018
Last updated
12/04/2018
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