Individual
SHADOW ARTHUR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
6020 GROVEPORT RD, GROVEPORT, OH 43125-1005
(740) 935-8962
Mailing address
3835 RHODES AVE, NEW BOSTON, OH 45662-4938
(740) 935-7820
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
—
—
171M00000X
Case Manager/Care Coordinator
Primary
—
—
251B00000X
Case Management Agency
Primary
—
—
Other
Enumeration date
03/11/2024
Last updated
02/10/2026
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