Individual
DONALD ENTLER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
14572 US HIGHWAY 23 STE A, WAVERLY, OH 45690-9448
(740) 947-6727
Mailing address
406 E EMMITT AVE APT 1, WAVERLY, OH 45690-1048
(740) 648-8755
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
Other
Enumeration date
05/07/2018
Last updated
05/07/2018
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