Individual
GREG SQUIBBS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1319 FLORENCEDALE AVE, YOUNGSTOWN, OH 44505-2719
(330) 743-9030
Mailing address
3653 WARREN SHARON RD, VIENNA, OH 44473-9534
(330) 540-4006
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
169236
OH
Other
Enumeration date
01/09/2019
Last updated
01/09/2019
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