Individual
DOUGLAS ROBERT FELLAND
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
219 W EMMITT AVE, WAVERLY, OH 45690-1181
(937) 544-2222
Mailing address
1001 SUCK RUN RD, MANCHESTER, OH 45144-8349
(937) 779-7113
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
CDCA.188307
OH
Other
Enumeration date
05/02/2024
Last updated
05/02/2024
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