Individual
EDWARD RAY COUCH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
CDCA
Contact information
Practice address
621 S ERIE HWY, HAMILTON, OH 45011-4315
(513) 869-6091
Mailing address
621 S ERIE HWY, HAMILTON, OH 45011-4315
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
162944
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
162944
—
OH
Enumeration date
04/19/2018
Last updated
04/19/2018
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