Individual
DANELLE MATHIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CADACC II
Contact information
Practice address
3520 W TWO MILE HOUSE RD, COLUMBUS, IN 47201-9242
(812) 803-2283
Mailing address
3520 W TWO MILE HOUSE RD, COLUMBUS, IN 47201-9242
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
C2-51384
IN
Other
Enumeration date
08/08/2023
Last updated
08/08/2023
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