Individual
ANDREW PAUL MCDIFFITT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CDCA
Contact information
Practice address
680 PARK AVE W, MANSFIELD, OH 44906-3706
(419) 528-5993
(567) 560-5483
Mailing address
680 PARK AVE W, MANSFIELD, OH 44906-3706
(419) 528-5993
(567) 560-5483
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
CDCA.161958
OH
Other
Enumeration date
05/10/2018
Last updated
05/10/2018
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