Individual
DESIREE RENE STEWART
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COUNSELOR
Contact information
Practice address
6629 W CENTRAL AVE, TOLEDO, OH 43617-1098
(419) 930-7782
Mailing address
6629 W CENTRAL AVE, TOLEDO, OH 43617-1098
(419) 930-7782
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
CDCA.178507
OH
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
CDCA.183003
OH
Other
Enumeration date
04/11/2022
Last updated
03/24/2023
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