Individual
MISS AMY KATHRYN HEINEMANN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CDCA
Contact information
Practice address
8120 GARNET DR, DAYTON, OH 45458-2141
(513) 834-7063
Mailing address
4600 MONTGOMERY RD STE 400, CINCINNATI, OH 45212-2600
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
CDCA.183940
OH
Other
Enumeration date
06/22/2023
Last updated
06/22/2023
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