Individual
FELICIA VERNON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
126 E 2ND ST, CHILLICOTHE, OH 45601-2593
(833) 510-4357
(866) 460-2997
Mailing address
615 ELSINORE PL STE 200, CINCINNATI, OH 45202-1457
(833) 510-4357
(866) 460-2997
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
164382
OH
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
CDCA.164382
OH
225400000X
Rehabilitation Practitioner
CDCA164382
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0096642
—
OH
Enumeration date
06/25/2018
Last updated
01/07/2022
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