Individual
ADDALYNE HUMBLE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
519 COURT ST, PORTSMOUTH, OH 45662-3933
(220) 221-6520
Mailing address
519 COURT ST, PORTSMOUTH, OH 45662-3933
(220) 221-6520
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
2026
OH
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
QMHS
OH
Other
Enumeration date
04/27/2026
Last updated
04/27/2026
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