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Individual

MR. JOHN RUSSELL SHARP

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
LPCC-S

Contact information

Practice address
4076 S TOWNSHIP ROAD 22, TIFFIN, OH 44883
(517) 740-6960
Mailing address
4076 S TOWNSHIP ROAD 22, TIFFIN, OH 44883
(517) 740-6960

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
E.0700020
OH

Other

Enumeration date
11/24/2009
Last updated
03/26/2024
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