Individual
JENNY WAFFORD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CMS-QMHS
Contact information
Practice address
196 E EMMITT AVE, WAVERLY, OH 45690-1334
(740) 912-9499
Mailing address
1175 JOHNSON HILL RD, WAVERLY, OH 45690-9114
(740) 600-1735
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
101YM0800X
Mental Health Counselor
—
—
Other
Enumeration date
07/18/2022
Last updated
07/18/2022
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