Individual
AUDRA JANELLE ZINN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CDCA PRELIMINARY
Contact information
Practice address
123 S WASHINGTON ST, VAN WERT, OH 45891-1707
(419) 771-1050
(419) 771-1051
Mailing address
123 S WASHINGTON ST, VAN WERT, OH 45891-1707
(419) 771-1050
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
CDCA.174665
OHIO CHEMICAL DEPENDENCY PROFESSIONALS BOARD
OH
Enumeration date
11/05/2020
Last updated
11/05/2020
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