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Individual
KATRINA CONNELL
Active
Individual
KATRINA CONNELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LISW
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
166548
OH
104100000X
Social Worker
I.2304605
OH
104100000X
Social Worker
S.1903328
OH
1041C0700X
Clinical Social Worker
Primary
I.2304605
OH
405300000X
Prevention Professional
161761
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0333299
—
OH
Enumeration date
07/30/2018
Last updated
03/22/2024
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