Individual
EMILY CORDELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
452 W MARKET ST, XENIA, OH 45385-2815
(937) 376-8700
(937) 376-8725
Mailing address
452 W MARKET ST, XENIA, OH 45385-2815
(937) 376-8700
(937) 376-8725
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
CDCA177508
OH
171M00000X
Case Manager/Care Coordinator
—
—
Other
Enumeration date
03/30/2021
Last updated
07/22/2021
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