Individual
MRS. DIANE MARY CUMMINS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN, CCDC IIIE
Contact information
Practice address
921 S. EDWIN C MOSES BLVD., DAYTON, OH 45417
(937) 461-1376
(937) 341-8198
Mailing address
921 S EDWIN C MOSES BLVD., DAYTON, OH 45417
(937) 461-1376
(937) 341-8198
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
892645
OH
163WP2201X
Ambulatory Care Registered Nurse
RN-149812
OH
Other
Enumeration date
03/08/2011
Last updated
03/08/2011
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