Individual
FAYONA DIANA JAMES CURENTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LISW
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
151229
OH
104100000X
Social Worker
I.1101015
OH
1041C0700X
Clinical Social Worker
Primary
16767
SC
1041C0700X
Clinical Social Worker
I 1101015.SUPV
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0193421
—
OH
Enumeration date
02/12/2016
Last updated
07/12/2024
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