Individual
BETTY A SUNDERLAND
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CDCA
Contact information
Practice address
345 E MAIN ST STE A, JACKSON, OH 45640-1780
(740) 288-3767
(740) 288-1111
Mailing address
214 S 4TH ST, IRONTON, OH 45638-1610
(740) 532-3767
(740) 532-3385
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
CDCA.161436
OH
Other
Enumeration date
10/18/2018
Last updated
07/28/2020
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