Individual
BILLY MAYFIELD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
2110 S SMITHVILLE RD APT C, KETTERING, OH 45420-1437
(937) 238-5315
Mailing address
2110 S SMITHVILLE RD APT C, KETTERING, OH 45420-1437
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
021265
OH
Other
Enumeration date
07/08/2013
Last updated
07/08/2013
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