Individual
MS. SUSAN MARIE HAVENS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPCC-S
Contact information
Practice address
600 WAYNE AVE, DAYTON, OH 45410-1122
(740) 335-3126
Mailing address
4731 STATE ROUTE 207 NE, WASHINGTON COURT HOUSE, OH 43160-8722
(740) 463-3581
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
C8265
OH
Other
Enumeration date
04/18/2007
Last updated
07/21/2022
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