Individual
MR. CHARLES BILLOCK JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PC
Contact information
Practice address
552 N PARK AVE, WARREN, OH 44481-1117
(330) 392-1100
Mailing address
2122 ROBBINS AVE, APT. 302, NILES, OH 44446-3976
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
C.1100415
OH
Other
Enumeration date
06/18/2014
Last updated
03/17/2018
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