Individual
MS. ANNA JANETTE CONATY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LISW, ATR
Contact information
Practice address
4464 S DIXIE HWY, MIDDLETOWN, OH 45005-5464
(513) 649-8008
(513) 649-8004
Mailing address
4464 S DIXIE HWY, MIDDLETOWN, OH 45005-5464
(513) 649-8008
(513) 649-8004
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
I.1451068
OH
1041C0700X
Clinical Social Worker
Primary
I.1451068
OH
221700000X
Art Therapist
#07-031
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0074861
MEDICAID LEGACY NUMBER CHEMICAL DEPENDENCY
OH
01
—
0074946
MEDICAID LEGACY NUMBER MENTAL HEALTH
OH
01
—
H130910
GROUP MEDICARE PTAN
OH
Enumeration date
04/17/2007
Last updated
09/10/2015
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