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Individual

JANET DELAY

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LICDC-CS

Contact information

Practice address
111 N HIGH ST, WAVERLY, OH 45690-1343
(740) 947-7581
Mailing address
111 N HIGH ST, WAVERLY, OH 45690-1343
(740) 947-7581

Taxonomy

Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
933505-CS
OH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0210270
OH
Enumeration date
04/27/2016
Last updated
03/14/2019
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