Individual
DANIELLE K COONTZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CDCA, LSW
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
CDCA.173454
OH
104100000X
Social Worker
Primary
S.2005742
OH
Other
Enumeration date
03/20/2020
Last updated
12/28/2020
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