Individual
MRS. CARLA C. MCCONNELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
L.I.C.D.C., L.S.W.
Contact information
Practice address
3095 DAYTON XENIA RD, DAYTON, OH 45434-4305
(937) 458-4260
(937) 352-3390
Mailing address
3095 DAYTON XENIA RD, 600, DAYTON, OH 45434-4305
(937) 458-4260
(937) 352-3390
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
913108
OH
Other
Enumeration date
12/19/2007
Last updated
12/19/2007
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