Individual
MISS DONELLE JORDAN JEANNE SANNING
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CDCA
Contact information
Practice address
1 ELIZABETH PL, DAYTON, OH 45417-3445
(937) 813-1737
(937) 813-4834
Mailing address
1 ELIZABETH PL, DAYTON, OH 45417-3445
(937) 813-1737
(937) 813-4834
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
CDCA.185780
OH
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
CDCA.189689
OH
Other
Enumeration date
09/29/2023
Last updated
09/03/2024
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