Individual provider · Type 1 NPI

Vivan Montrice Bridges

Addiction (Substance Use Disorder) Counselor · Lima, OH

NPI number 1497417133 Active

Practice location

311 E Market St
Lima, OH 45801-4535

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor Primary 101YA0400XNone listed

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

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About NPI 1497417133

Vivan Montrice Bridges's National Provider Identifier is 1497417133, issued on Oct 11, 2021. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Lima, OH. The record was last updated on Oct 11, 2021.