Individual
CHRISTOPHER WEIDERHOLD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CDCA
Contact information
Practice address
1569 STATE ROUTE 28, LOVELAND, OH 45140-8429
(513) 575-0968
(513) 575-1019
Mailing address
121 N MAIN ST, GEORGETOWN, OH 45121-1022
(937) 483-4189
(937) 378-0950
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
178658
OH
Other
Enumeration date
03/24/2022
Last updated
03/24/2022
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