Individual
DESTINEE JAYDE LOVELY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CDCA
Contact information
Practice address
4449 STATE ROUTE 159, CHILLICOTHE, OH 45601-8620
(740) 772-7957
Mailing address
PO BOX 6179, CHILLICOTHE, OH 45601-6179
(740) 772-7957
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
CDCA.186254
OH
Other
Enumeration date
11/22/2023
Last updated
11/22/2023
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