Individual
MS. BEVERLY MASSEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LISW-S, LICDC-CS,
Contact information
Practice address
6840 KENTON AVE, CINCINNATI, OH 45236-3815
(513) 242-4430
Mailing address
6840 KENTON AVE, CINCINNATI, OH 45236-3815
(513) 242-4430
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
943894
OH
103K00000X
Behavior Analyst
0002701
OH
Other
Enumeration date
02/20/2014
Last updated
02/20/2014
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