Individual
JANUARY LEE NEWPORT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LSW, LICDC
Contact information
Practice address
100 ELMWOOD PARK DR, WEST CARROLLTON, OH 45449-5402
(937) 384-0580
Mailing address
100 ELMWOOD PARK DR, WEST CARROLLTON, OH 45449-5402
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
.162905
OH
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
165995
OH
1041C0700X
Clinical Social Worker
S.2309767
OH
Other
Enumeration date
05/17/2018
Last updated
01/13/2026
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