Individual
MATTHEW SEMPLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CDCA
Contact information
Practice address
29 NORTH RD, NILES, OH 44446-1918
(330) 652-6770
Mailing address
29 NORTH RD, NILES, OH 44446-1918
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1
GLENBEIGH
OH
Enumeration date
12/19/2022
Last updated
12/19/2022
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