Individual
CHAD STILTNER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
CDCA.181056
Contact information
Practice address
1616 GRANT ST, PORTSMOUTH, OH 45662-3663
(740) 901-0416
Mailing address
411 COURT ST, PORTSMOUTH, OH 45662-3932
(740) 354-6685
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
CDCA.176495
OH
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
CDCA.181056
OH
101YM0800X
Mental Health Counselor
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0406725
—
OH
Enumeration date
06/12/2020
Last updated
06/29/2022
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