Individual
ANNIE NICOLE NORTHROP
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
5563 FAR HILLS AVE, DAYTON, OH 45429-2225
(937) 291-2300
(937) 291-2303
Mailing address
5563 FAR HILLS AVE, DAYTON, OH 45429-2225
(937) 291-2300
(937) 291-2303
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
OH
106S00000X
Behavior Technician
—
—
171M00000X
Case Manager/Care Coordinator
Primary
—
—
175T00000X
Peer Specialist
APS.004909
OH
Other
Enumeration date
03/20/2024
Last updated
06/20/2025
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