Organization
TERESA N. FEARS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TERESA NA'MORE FEARS LICDC (CLINICAL DIRECTOR)
(937) 274-4369
Entity
Organization
Contact information
Practice address
1 ELIZABETH PL STE 1180, DAYTON, OH 45417-3445
(937) 274-4369
Mailing address
1 ELIZABETH PL STE 1180, DAYTON, OH 45417-3445
(937) 274-4369
Taxonomy
Speciality
Code
Description
License number
State
261QR0405X
Substance Use Disorder Rehabilitation Clinic/Center
Primary
201412600828
OH
Other
Enumeration date
11/04/2014
Last updated
11/04/2014
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