Individual
ALLYSON WORTMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
501 MAIN ST, ZANESVILLE, OH 43701-3622
(740) 704-7794
Mailing address
308 S 9TH ST, COSHOCTON, OH 43812-2152
(740) 319-9515
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
CDCA.187948
OH
171M00000X
Case Manager/Care Coordinator
—
—
Other
Enumeration date
01/26/2022
Last updated
09/30/2024
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