Individual
JENNIFER DAWN TUTTLE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CDCA
Contact information
Practice address
5414 HOMEGARDNER RD, CASTALIA, OH 44824-9420
(419) 871-2017
Mailing address
163 COLEMAN CT, NEW LONDON, OH 44851-1207
(419) 681-6100
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
Other
Enumeration date
02/06/2020
Last updated
02/06/2020
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