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Individual

CARL HARCUS

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
LCDC II

Contact information

Practice address
2317 E HOME RD, SPRINGFIELD, OH 45503-2520
(833) 691-0736
Mailing address
1840 CULVER AVE, KETTERING, OH 45420-2102

Taxonomy

Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
LCDCIII.162325
OH

Other

Enumeration date
10/12/2017
Last updated
04/06/2022
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