Individual provider · Type 1 NPI

Ethan G. Preston, LCDC III, QMHS

Addiction (Substance Use Disorder) Counselor · Ironton, OH

NPI number 1306498134 Active

Practice location

700 Park Ave
Ironton, OH 45638-1502

Call (740) 532-1613 Map

Mailing address

PO Box 108
Ironton, OH 45638-0108

Specialties and licenses

TaxonomyCodeLicense
Case Manager/Care Coordinator 171M00000XCDCA.175127 (OH)
Addiction (Substance Use Disorder) Counselor Primary 101YA0400XLCDCIII.162777 (OH)

Addiction (Substance Use Disorder) Counselor: Definition to come...

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About NPI 1306498134

Ethan G. Preston, LCDC III, QMHS's National Provider Identifier is 1306498134, issued on Jul 11, 2019. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Ironton, OH. The record was last updated on Jan 24, 2025.