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Individual

KRISTA DANIELLE LAVENDER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
1007 N 2ND ST, IRONTON, OH 45638-1235
(740) 442-7045
(740) 442-7047
Mailing address
PO BOX 614, IRONTON, OH 45638-0614
(740) 442-7045

Taxonomy

Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
E.2606703
OH
101Y00000X
Counselor
Primary
171M00000X
Case Manager/Care Coordinator

Other

Enumeration date
05/18/2021
Last updated
05/06/2026
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