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Individual

ADAM RAY STAPLETON

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man

Contact information

Practice address
517 3RD AVE, CHESAPEAKE, OH 45619-1036
(740) 451-1455
Mailing address
702 4TH ST E, SOUTH POINT, OH 45680-7111

Taxonomy

Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
CDCA.186844
OH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0036702
OH
Enumeration date
01/26/2024
Last updated
03/08/2024
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