Individual
CHIQUITA LAVENDER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
732 BECKMAN ST, DAYTON, OH 45410-2165
(937) 253-1680
(937) 253-1680
Mailing address
732 BECKMAN ST, DAYTON, OH 45410-2165
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
OH
Other
Enumeration date
04/30/2025
Last updated
04/30/2025
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