Individual
DAWN RENAE HUMPHREY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2575 HAYES AVE, FREMONT, OH 43420-5201
(567) 280-9435
Mailing address
2575 HAYES AVE, FREMONT, OH 43420-5201
(567) 280-9435
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
CDCA.179224
OH
171M00000X
Case Manager/Care Coordinator
—
—
Other
Enumeration date
12/22/2021
Last updated
11/05/2025
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