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Individual

CHARLES COLLIE

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
LCDCII

Contact information

Practice address
665 W MARKET ST, AKRON, OH 44303-1438
(330) 379-3467
(330) 379-3465
Mailing address
665 W MARKET ST, AKRON, OH 44303-1438
(330) 379-3467
(330) 379-3465

Taxonomy

Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
RT815791
OH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
2847709
OH
Enumeration date
10/31/2017
Last updated
10/31/2017
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