Individual
COURTNEY MECHELL BENNER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCDC II
Contact information
Practice address
8308 OHIO RIVER RD STE B, WHEELERSBURG, OH 45694-1713
(740) 529-1201
Mailing address
8308 OHIO RIVER RD STE B, WHEELERSBURG, OH 45694-1713
(740) 529-1201
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
162058
OH
171M00000X
Case Manager/Care Coordinator
167071
OH
Other
Enumeration date
09/22/2018
Last updated
02/04/2025
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