Individual
COURTNEY PAIGE KINNAMON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
102 DAWN LN, WAVERLY, OH 45690-9695
(740) 947-7783
(740) 947-4226
Mailing address
102 DAWN LN, WAVERLY, OH 45690-9695
(740) 947-7783
(740) 947-4226
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
161312
OH
Other
Enumeration date
03/30/2018
Last updated
03/30/2018
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