Individual
JAMES SCOTT JANIEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
4201 N MAIN ST, DAYTON, OH 45405-1624
(927) 203-2017
Mailing address
2125 BEAVER VALLEY RD APT 2, FAIRBORN, OH 45324-2471
(937) 825-4994
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
183801
OH
Other
Enumeration date
05/16/2023
Last updated
05/16/2023
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