Individual
CHRISTOPHER ROBERT STAUTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CDCA
Contact information
Practice address
2960 W ENON RD, XENIA, OH 45385-8548
(937) 272-4925
Mailing address
2960 W ENON RD, XENIA, OH 45385-8548
(937) 272-4925
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
188974
OH
Other
Enumeration date
07/02/2024
Last updated
07/02/2024
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