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Individual

DONALD LEE GARRISON JR.

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
CDCA

Contact information

Practice address
4977 NORTHCUTT PL, DAYTON, OH 45414-3839
(800) 829-5461
Mailing address
5224 LINTON ST, ASHVILLE, OH 43103-3500
(614) 641-1577

Taxonomy

Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
CDCA189757
OH
104100000X
Social Worker
171M00000X
Case Manager/Care Coordinator
251B00000X
Case Management Agency

Other

Enumeration date
02/01/2021
Last updated
12/20/2024
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