Individual
JENNIFER DURHAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CDCA
Contact information
Practice address
46 E WATER ST, CHILLICOTHE, OH 45601-2544
(740) 779-1180
Mailing address
178 MILL RUN RD LOT 14, WAVERLY, OH 45690-8970
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
141701
OH
Other
Enumeration date
10/19/2017
Last updated
10/19/2017
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