Individual
CARISSA A DRUMMOND
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
5050 MADISON RD, CINCINNATI, OH 45227-1491
(513) 272-2800
Mailing address
5050 MADISON RD, CINCINNATI, OH 45227-1491
(513) 272-2800
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
—
—
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0420715
—
OH
Enumeration date
10/13/2020
Last updated
10/20/2021
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