Individual
ADENA THOMAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1199 DELAWARE AVE, MARION, OH 43302-6475
(440) 260-8300
Mailing address
1199 DELAWARE AVE STE 110, MARION, OH 43302-6475
(740) 736-2033
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
17449
OH
172V00000X
Community Health Worker
—
—
175T00000X
Peer Specialist
—
OH
Other
Enumeration date
07/27/2018
Last updated
09/19/2022
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