Individual
AIMEE COE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPCC-S, CRC, LCDCIII
Contact information
Practice address
541 W WOOSTER ST FL 3, BOWLING GREEN, OH 43402-2781
(419) 373-6560
(419) 373-6561
Mailing address
541 W WOOSTER ST FL 3, BOWLING GREEN, OH 43402-2781
(419) 373-6560
(419) 373-6561
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
021230
OH
101YM0800X
Mental Health Counselor
Primary
E.0500315
OH
Other
Enumeration date
06/16/2014
Last updated
06/16/2014
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