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Individual

COURTNEY RENEE KEMPER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
CDCA

Contact information

Practice address
254 PINECREST DR, GALLIPOLIS, OH 45631-1347
(740) 578-4824
(740) 578-4821
Mailing address
995 JACKSON PIKE STE 102, GALLIPOLIS, OH 45631-2621
(740) 578-4824
(740) 578-4821

Taxonomy

Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
164941
OH
163W00000X
Registered Nurse
Primary
RN.526858
OH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0215362
OH
Enumeration date
11/01/2017
Last updated
08/02/2023
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