Individual
KELLY RENA DANIELS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LICDCII
Contact information
Practice address
1924 E MARKET ST, WARREN, OH 44483-6618
(833) 510-4357
Mailing address
4600 MONTGOMERY RD STE 400, CINCINNATI, OH 45212-2600
(833) 510-4357
(866) 460-2997
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
CDCA.176487
OH
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
OH
101YP2500X
Professional Counselor
Primary
LCDCII.161851
OH
Other
Enumeration date
05/17/2021
Last updated
11/25/2024
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