Individual
GEORGE JAMES RUTHERFORD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1051 N CANFIELD NILES RD, AUSTINTOWN, OH 44515-1110
(330) 935-2663
Mailing address
1300 CRANBERRY PT, CRANBERRY TOWNSHIP, PA 16066-7460
(814) 715-4535
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
LCDCII.161640
OH
Other
Enumeration date
05/21/2020
Last updated
05/21/2020
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