Individual
ANNA LOUISE CLONTZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CDCA
Contact information
Practice address
1 ELIZABETH PL, DAYTON, OH 45417-3445
(937) 238-0037
Mailing address
1206 KEIFER ST, DAYTON, OH 45404-1710
(513) 649-5780
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
CDCA.185884
OH
Other
Enumeration date
09/25/2023
Last updated
09/25/2023
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