Katelynd Staffeldt, CDCA
Counselor, Addiction (Substance Use Disorder) in Mount Vernon, OH. Individual provider (NPI-1).
NPI number1164020004
StatusActive
Last updated in NPPESOct 13, 2020
Details
- NPI
- 1164020004
- Entity type
- Individual (NPI-1)
- Name
- Katelynd Staffeldt
- Credential
- CDCA
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Oct 13, 2020
- Certification date
- Oct 13, 2020
- Last updated
- Oct 13, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 101YA0400X | Counselor, Addiction (Substance Use Disorder) | – | – | Yes |
Practice location
401 W High St Ste 9Mount Vernon, OH 43050-2346
Phone 740-326-6069
Mailing address
401 W High St Ste 9Mount Vernon, OH 43050-2346
Phone 740-326-6069
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