Jacyln Lee Alexander, CDCA
Counselor, Addiction (Substance Use Disorder) in Fairfield, OH. Individual provider (NPI-1).
NPI number1366948630
StatusActive
Last updated in NPPESNov 9, 2018
Details
- NPI
- 1366948630
- Entity type
- Individual (NPI-1)
- Name
- Jacyln Lee Alexander
- Credential
- CDCA
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Apr 4, 2018
- Last updated
- Nov 9, 2018
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 101YA0400X | Counselor, Addiction (Substance Use Disorder) | CDCA.165318 | OH | Yes |
| 171M00000X | Case Manager/Care Coordinator | 165318 | OH |
Practice location
6570 Sosna DrFairfield, OH 45014-2222
Phone 513-942-4673
Mailing address
6570 Sosna DrFairfield, OH 45014-2222
Phone 513-942-4673
Other practice locations
621 S Erie Hwy
Hamilton, OH 45011-4315
Hamilton, OH 45011-4315
Phone 513-795-7557
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