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Individual

AVERY K CHAMBLIN JR.

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
1569 STATE ROUTE 28, LOVELAND, OH 45140-8429
(513) 575-0968
Mailing address
25773 STATE ROUTE 41, PEEBLES, OH 45660-8953
(937) 471-5803

Taxonomy

Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
CDCA.186207
OH

Other

Enumeration date
06/27/2024
Last updated
04/17/2025
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