Individual
MR. ANDREW DENNIS KUMMER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
CDCA
Contact information
Practice address
14574 US HIGHWAY 23, WAVERLY, OH 45690-9373
(740) 935-6083
(740) 935-6083
Mailing address
218 E NORTH ST, WAVERLY, OH 45690-1148
(740) 935-6083
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
164658
OH
Other
Enumeration date
02/13/2018
Last updated
02/13/2018
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