Individual
BRENDA J IVEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
46 E WATER ST, CHILLICOTHE, OH 45601-2544
(740) 851-5307
Mailing address
406 MILL ST, CHILLICOTHE, OH 45601-2318
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
101YM0800X
Mental Health Counselor
—
—
Other
Enumeration date
11/07/2022
Last updated
11/07/2022
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