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William Stonebraker III, LCDCIII

Counselor, Addiction (Substance Use Disorder) in Milford, OH. Individual provider (NPI-1).

NPI number1669963302
StatusActive
Last updated in NPPESMay 29, 2018

Details

NPI
1669963302
Entity type
Individual (NPI-1)
Name
William Stonebraker III
Credential
LCDCIII
Sex
Male
Sole proprietor
Yes
Enumeration date
May 29, 2018
Last updated
May 29, 2018

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
101YA0400X Counselor, Addiction (Substance Use Disorder)101081OHYes

Practice location

25 Whitney Dr
Milford, OH 45150-8402

Phone 513-753-9964 · Fax 513-753-9968

Mailing address

2540 Retford Dr
Cincinnati, OH 45231-1008

Phone 513-309-8749

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