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Individual

DEVIN EASLEY

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man

Contact information

Practice address
160 N BREIEL BLVD, MIDDLETOWN, OH 45042-3806
(513) 941-4999
(513) 694-0168
Mailing address
6460 HARRISON AVE STE 200, CINCINNATI, OH 45247-7958
(513) 941-4999
(513) 694-0168

Taxonomy

Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
CDCA.179903
OH
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
CDCA.184014
OH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0478145
OH
Enumeration date
03/07/2022
Last updated
05/23/2023
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