Individual
JENNIFER M. CORONATI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
AAS, CDCA
Contact information
Practice address
4977 NORTHCUTT PL, DAYTON, OH 45414-3839
(937) 387-6395
Mailing address
4977 NORTHCUTT PL, DAYTON, OH 45414-3839
(373) 876-6395
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
110647
OH
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
CDCA.110647
OH
104100000X
Social Worker
SH813729
OH
Other
Enumeration date
11/19/2018
Last updated
11/03/2021
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