Individual
DESTANI KYLII ANN ODANIEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
12115 SHERATON LN, CINCINNATI, OH 45246-1613
(513) 776-6699
Mailing address
12115 SHERATON LN, CINCINNATI, OH 45246-1613
(513) 776-6699
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
OH
Other
Enumeration date
09/03/2025
Last updated
09/03/2025
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