Individual
ANGELA VANDEN EYNDEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
25 WHITNEY DR STE 122, MILFORD, OH 45150-8400
(513) 941-4999
Mailing address
6460 HARRISON AVE STE 200, CINCINNATI, OH 45247-7958
(513) 941-4999
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
CDCA.177670
OH
101YA0400X
Addiction (Substance Use Disorder) Counselor
CDCA.181326
OH
101YA0400X
Addiction (Substance Use Disorder) Counselor
LCDCIII.162627
OH
101YM0800X
Mental Health Counselor
Primary
C.2406379-TRNE
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0453202
—
OH
Enumeration date
12/22/2020
Last updated
02/04/2025
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