Individual
CHASITY RACHEL WHITLEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LISW, LCDC III
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
LCDCIII.161697
OH
104100000X
Social Worker
Primary
I18000889
OH
Other
Enumeration date
03/22/2016
Last updated
04/19/2023
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