Individual
CLARE CONRAD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LCDC III
Contact information
Practice address
701 JEFFERSON AVE, SUITE 101, TOLEDO, OH 43604-6955
(419) 242-9955
(419) 242-8855
Mailing address
701 JEFFERSON AVE, SUITE 101, TOLEDO, OH 43604-6955
(419) 242-9955
(419) 242-8855
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
061006
OH
Other
Enumeration date
05/11/2017
Last updated
05/11/2017
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