Individual
CARL THIELO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
5241 MONTGOMERY RD, NORWOOD, OH 45212
(513) 993-5291
Mailing address
3523 CLIFTON AVE APT 2, CINCINNATI, OH 45220-3214
(440) 669-6162
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
S.2102253-TRNE
OH
Other
Enumeration date
01/27/2022
Last updated
01/27/2022
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