Individual
JENNIFER BAUER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
224 COLUMBUS RD, ATHENS, OH 45701-1334
(740) 592-6724
Mailing address
224 COLUMBUS RD, ATHENS, OH 45701-1334
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
CDCA183974
OH
Other
Enumeration date
04/04/2023
Last updated
04/04/2023
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