Individual
CHASSITY KENDAL KEETON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
732 BECKMAN ST, DAYTON, OH 45410-2165
(937) 253-1680
Mailing address
814 MCDOWELL PL, DAYTON, OH 45433-1318
(937) 825-1868
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
187725
OH
Other
Enumeration date
06/06/2024
Last updated
06/06/2024
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