Individual
EDEN E MCDONALD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CDCA
Contact information
Practice address
1592 JOSELIN RD, DAYTON, OH 45432-3647
(937) 559-5659
Mailing address
1592 JOSELIN RD, DAYTON, OH 45432-3647
(937) 559-5659
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
CDCA.171403
OH
Other
Enumeration date
09/09/2019
Last updated
09/09/2019
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