Individual
ANDREW W NOLEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MCJ/FP, CDCA
Contact information
Practice address
151 MARION AVE, MANSFIELD, OH 44903
(419) 774-9969
Mailing address
538 S UNION ST, GALION, OH 44833-2548
(740) 751-3881
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
CDCA.120357
OH
Other
Enumeration date
10/10/2018
Last updated
02/15/2019
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