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Individual

CELESTE V DENNIS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LPCC

Contact information

Practice address
9754 KENWOOD RD, SUITE B, BLUE ASH, OH 45242-6159
(513) 445-8445
(513) 759-7013
Mailing address
9754 KENWOOD RD, SUITE B, BLUE ASH, OH 45242-6159
(513) 445-8445
(513) 759-7013

Taxonomy

Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
001428
OH
101YM0800X
Mental Health Counselor
Primary
E0003486
OH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
451928736
TAX IDENTIFICATION NUMBER
OH
Enumeration date
11/25/2009
Last updated
01/10/2016
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