Individual
JENNIFER LYNN CARRELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CDCA
Contact information
Practice address
2100 PLEASANT AVE, HAMILTON, OH 45015-1133
(513) 867-5655
Mailing address
2100 PLEASANT AVE, HAMILTON, OH 45015-1133
(513) 867-5655
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
165866
OH
Other
Enumeration date
01/16/2018
Last updated
01/18/2018
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