Individual
MISS COLLEEN HELTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CDCA
Contact information
Practice address
5234 W STATE ROUTE 63, LEBANON, OH 45036-8202
(513) 933-9304
Mailing address
5117 NORTHCLIFF DR, RIVERSIDE, OH 45431-1225
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
177634
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
CDCA177634
—
OH
Enumeration date
10/04/2021
Last updated
10/04/2021
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