Individual
LAUREN ELIZABETH DODGE
Active
Individual
LAUREN ELIZABETH DODGE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
CDCA.182074
OH
172V00000X
Community Health Worker
Primary
—
—
175T00000X
Peer Specialist
—
OH
Other
Enumeration date
07/21/2021
Last updated
06/23/2025
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