Individual
JENNIFER ELLEN CARTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CDCA
Contact information
Practice address
6400 E BROAD ST FL 4, COLUMBUS, OH 43213-2086
(937) 228-0579
(937) 641-8517
Mailing address
8145 N MAIN ST, DAYTON, OH 45415-1703
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
CDCA.164950
OH
171M00000X
Case Manager/Care Coordinator
—
—
Other
Enumeration date
01/10/2018
Last updated
09/07/2022
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