Individual
ANGELA N KOVERMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CDCA
Contact information
Practice address
1 ELIZABETH PL, DAYTON, OH 45417-3445
(937) 234-0100
Mailing address
1 ELIZABETH PL, DAYTON, OH 45417-3445
(937) 234-0100
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
170813
OH
Other
Enumeration date
07/23/2019
Last updated
07/23/2019
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