Individual
AUSTIN J CONKLIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
224 COLUMBUS RD, ATHENS, OH 45701-1334
(740) 592-6724
Mailing address
224 COLUMBUS RD, ATHENS, OH 45701-1334
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
CDCA188003
OH
Other
Enumeration date
04/09/2024
Last updated
04/09/2024
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