Individual
AMELIA KEYS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CDCA
Contact information
Practice address
5234 OH-63, LEBANON, OH 45036
(513) 933-9304
Mailing address
5234 OH-63, LEBANON, OH 45036
(513) 933-9304
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
169731
OH
Other
Enumeration date
09/17/2019
Last updated
09/17/2019
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