Individual
JENNIFER WLODARCZYK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCDC III
Contact information
Practice address
2250 PLEASANT AVE, HAMILTON, OH 45015-1135
(513) 868-1562
Mailing address
311 ALBERT SABIN WAY, CINCINNATI, OH 45229-2838
(513) 887-4309
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
LCDCIII.001119
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0466859
—
OH
Enumeration date
07/28/2017
Last updated
12/12/2023
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