Individual
JEFFREY CARPENTER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
4977 NORTHCUTT PL, DAYTON, OH 45414-3839
(800) 829-5461
Mailing address
4204 EMERSON AVE, PARKERSBURG, WV 26104-1220
(681) 473-6159
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
192125
OH
Other
Enumeration date
04/23/2025
Last updated
04/23/2025
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