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Individual

ALICIA MCCOMBS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
1 ELIZABETH PL, DAYTON, OH 45417-3445
(937) 813-1737
Mailing address
1 ELIZABETH PL, DAYTON, OH 45417-3445
(937) 813-1737

Taxonomy

Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
CDCA.180363
OH
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
CDCA.187908
OH
175T00000X
Peer Specialist
APS.003458
OH

Other

Enumeration date
09/19/2022
Last updated
04/05/2024
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