Individual
AUSTIN WESCOTT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
4201 N MAIN ST, DAYTON, OH 45405-1624
(937) 203-2017
Mailing address
337 HILL ST, XENIA, OH 45385-5654
(917) 919-3276
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
CDCA.184718
OH
Other
Enumeration date
06/23/2023
Last updated
06/23/2023
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