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Stephanie A Cook, LCDCII

Counselor, Addiction (Substance Use Disorder) in Dayton, OH. Individual provider (NPI-1).

NPI number1346852282
StatusActive
Last updated in NPPESJun 30, 2023

Details

NPI
1346852282
Entity type
Individual (NPI-1)
Name
Ms. Stephanie A Cook
Credential
LCDCII
Sex
Female
Sole proprietor
No
Enumeration date
Aug 21, 2020
Certification date
Jun 30, 2023
Last updated
Jun 30, 2023

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
101YA0400X Counselor, Addiction (Substance Use Disorder)LCDCII.161777OHYes

Practice location

4124 Linden Ave
Dayton, OH 45432-3018

Phone 513-915-4813

Mailing address

4124 Linden Ave
Dayton, OH 45432-3018

Phone 513-915-4813

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