Individual
JENNIFER LEGO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CDCA
Contact information
Practice address
4977 NORTHCUTT PL, DAYTON, OH 45414-3839
(800) 829-5461
Mailing address
1208 15TH ST, PARKERSBURG, WV 26101-4010
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
CDCA188668
OH
Other
Enumeration date
10/07/2024
Last updated
10/07/2024
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