Jonathan Dewalt

NPI #1962165795 in Shelby, Ohio

Provider Information

NPI Number
1962165795
Entity Type
Individual
Name
Jonathan Dewalt
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Counselor - Addiction (Substance Use Disorder)
Enumeration Date
Oct 19, 2021
Last Updated
Oct 19, 2021

Practice Location

Address
2775 STATE ROUTE 39
City
Shelby
State
Ohio
ZIP Code
44875-9466
Phone
(417) 747-3322

Specialties & Taxonomy Codes

Specialty
Counselor - Addiction (Substance Use Disorder)Addiction (Substance Use Disorder)

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