Individual
MS. DAPHNE CHRISTINE AYERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LISW-S, LICDC-CS, GA
Contact information
Practice address
246 NORTHLAND DR STE 200A, MEDINA, OH 44256-3440
(330) 764-3659
(330) 764-8126
Mailing address
246 NORTHLAND DR STE 200A, MEDINA, OH 44256-3440
(330) 764-3659
(330) 764-8126
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
161376
OH
104100000X
Social Worker
S1700154
OH
1041C0700X
Clinical Social Worker
Primary
I.2204124
OH
175T00000X
Peer Specialist
—
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0268032
—
OH
Enumeration date
08/24/2017
Last updated
10/18/2024
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