Individual
TEAGAN NICOLE HONSHELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PRS, CDCAI
Contact information
Practice address
3008 SUDBURY DR, KETTERING, OH 45420-1129
(937) 310-1269
(937) 310-1199
Mailing address
3008 SUDBURY DR, KETTERING, OH 45420-1129
(937) 310-1269
(937) 310-1199
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
CDCA.191471
OH
175T00000X
Peer Specialist
Primary
APS.005715
OH
Other
Enumeration date
02/27/2025
Last updated
02/27/2025
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