Individual
JEANITA ARDELL HOPINGS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CDCA
Contact information
Practice address
350 S. IRWIN RD., HOLLAND, OH 43528
(567) 703-9064
Mailing address
350 S. IRWIN, HOLLAND, OH 43528
(567) 703-9064
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
164720
OH
Other
Enumeration date
04/16/2018
Last updated
04/16/2018
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