Individual
LACHERRIA AUBREY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
QMHSBA
Contact information
Practice address
1375 US HIGHWAY 42 SE, STE C, LONDON, OH 43140-9548
(614) 879-8067
(614) 503-0899
Mailing address
1375 US HIGHWAY 42 SE, STE C, LONDON, OH 43140-9548
(614) 879-8067
(614) 503-0899
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
LCDCIII.162086
OH
101YM0800X
Mental Health Counselor
Primary
C.2304720-TRNE
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1043713233
—
OH
Enumeration date
03/14/2018
Last updated
02/26/2024
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