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Individual

CHRISTOPHER WORTHEN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
CDCA

Contact information

Practice address
1948 N LIMESTONE ST, SPRINGFIELD, OH 45503-2648
(866) 534-2639
(800) 480-7578
Mailing address
220 SARA ST, URBANA, OH 43078-1549
(937) 896-6130

Taxonomy

Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
CDCA.166569
OH
171M00000X
Case Manager/Care Coordinator
175T00000X
Peer Specialist
APS.001804
OH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0267935
OH
Enumeration date
11/06/2017
Last updated
08/21/2025
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