Individual
ANGELA NADA HEREFORD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CMS
Contact information
Practice address
196 E EMMITT AVE, WAVERLY, OH 45690-1334
(740) 821-8889
Mailing address
1063A CRAMER RD, LUCASVILLE, OH 45648-8931
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
Other
Enumeration date
03/11/2019
Last updated
03/11/2019
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