Individual
MS. HOLLIE SUE MAUND
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CDCA
Contact information
Practice address
1619 CHILLICOTHE ST, PORTSMOUTH, OH 45662-3477
(740) 529-0083
Mailing address
5611 GALLIA ST, PORTSMOUTH, OH 45662-5520
(740) 529-0083
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
172902
OH
Other
Enumeration date
05/05/2020
Last updated
05/05/2020
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