Individual
MRS. DENITA D DYDASCO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.ED., LICDC-CS
Contact information
Practice address
400 E STATE ST STE D, ATHENS, OH 45701-1870
(866) 534-2639
Mailing address
400 E STATE ST STE D, ATHENS, OH 45701-1870
(866) 534-2639
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
101034
OH
101YA0400X
Addiction (Substance Use Disorder) Counselor
1129
KY
101YP2500X
Professional Counselor
KY-1160
KY
Other
Enumeration date
03/19/2013
Last updated
03/31/2025
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