Individual
ALEXANDER THIVENER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
411 COURT ST, PORTSMOUTH, OH 45662-3932
(740) 354-6685
Mailing address
411 COURT ST, PORTSMOUTH, OH 45662-3932
(740) 354-6685
(740) 876-4005
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
CDCA.190099
OH
101YM0800X
Mental Health Counselor
—
—
Other
Enumeration date
09/22/2023
Last updated
10/03/2024
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