EUGENE H. TERRY
NPI 1194224311
Counselor - Addiction (Substance Use Disorder) in Wooster, OH
Active since February 02, 2018
About Eugene H. Terry NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
EUGENE H. TERRY (NPI 1194224311) is an individual addiction (substance use disorder) provider in Wooster, Ohio, licensed in Ohio (150272) and active in the NPI registry since February 2018.
NPPES Registry Identity
NPI1194224311
Entity TypeIndividualMale
Primary Taxonomy101YA0400X
Provider Legal NameEUGENE H. TERRY
Location Address2034 PORTAGE RD APT 4Wooster, OH 44691-1921
Mailing Address2034 Portage Rd Apt 4Wooster, OH 44691-1921 · (330) 345-2179
Phone(330) 345-2179
Sole ProprietorYes
Enumeration DateFebruary 2, 2018
✔ NPI 1194224311 is a valid, active identifier and passes the ISO check-digit test.
Specialties & Licenses
★ Primary SpecialtyCounselor · Addiction (Substance Use Disorder)Behavioral Health & Social Service Providers
Taxonomy Code101YA0400X
License✔ Licensed in OH · 150272
2034 PORTAGE RD APT 4, Wooster, OH 44691
Group Practice 1
Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1194224311, enumerated as an "individual" on February 02, 2018.
The provider is located at 2034 PORTAGE RD APT 4 WOOSTER, OH 44691 and the phone number is (330) 345-2179.
Counselor with taxonomy code 101YA0400X and a focus in Addiction (Substance Use Disorder).
