Individual
COURTNEY DAWN WHITBREAD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LISW
Contact information
Practice address
2801 C CT, ASHTABULA, OH 44004-4577
(440) 998-4210
Mailing address
2801 C CT, ASHTABULA, OH 44004-4577
(440) 998-4210
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
LCDCIII.162319
OH
104100000X
Social Worker
—
OH
1041C0700X
Clinical Social Worker
Primary
I.2607981
OH
251B00000X
Case Management Agency
—
—
Other
Enumeration date
09/09/2019
Last updated
04/02/2026
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