| Cao Of Scioto County | |
|
433 3rd St Portsmouth OH 45662-3811 | |
| (740) 354-7545 | |
| (740) 351-0567 |
| Full Name | Cao Of Scioto County |
|---|---|
| Speciality | Counselor - Addiction (substance Use Disorder) |
| Location | 433 3rd St, Portsmouth, Ohio |
| Authorized Official Name and Position | Marjorie Luanne Valentine (OPERATIONS DIRECTOR) |
| Authorized Official Contact | 7403547541 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Cao Of Scioto County Po Box 1525 Portsmouth OH 45662-1525 Ph: (740) 351-1188 | Cao Of Scioto County 433 3rd St Portsmouth OH 45662-3811 Ph: (740) 354-7545 |
| NPI Number | 1760989404 |
|---|---|
| Provider Enumeration Date | 04/10/2018 |
| Last Update Date | 11/22/2018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1760989404 | NPI | - | NPPES |
| 0275108 | Medicaid | OH |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | E1200442SUPV (Ohio) | Primary |
| 251B00000X | Case Management | E1200442SUPV (Ohio) | Secondary |
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