Individual provider · NPI-1

Myranda Abner

Counselor, Addiction (Substance Use Disorder) · Dayton, OH

NPI number1487229076
StatusActive
Last updated in NPPESMay 25, 2021

Details

NPI
1487229076
Entity type
Individual (NPI-1)
Name
Myranda Abner
Sex
Female
Sole proprietor
No
Enumeration date
May 25, 2021
Certification date
May 25, 2021
Last updated
May 25, 2021

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
101YA0400X Counselor, Addiction (Substance Use Disorder)––Yes

Practice location

43 E Babbitt St
Dayton, OH 45405-4903

Phone 937-253-1680

Mailing address

43 E Babbitt St
Dayton, OH 45405-4903

Phone 937-253-1680

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