Individual
JAMES EDWARD ASHLEY VAN AELSTYN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
14574 US HIGHWAY 23, WAVERLY, OH 45690-9373
(740) 835-8714
Mailing address
530 E 3RD ST, WAVERLY, OH 45690-1226
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
Other
Enumeration date
07/24/2019
Last updated
07/24/2019
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