| Mentoring 1 On 1 | |
|
119 Indianola Ave Dayton OH 45405-3538 | |
| (937) 718-1610 | |
| Not Available |
| Full Name | Mentoring 1 On 1 |
|---|---|
| Speciality | Case Manager/care Coordinator |
| Location | 119 Indianola Ave, Dayton, Ohio |
| Authorized Official Name and Position | Crystal Weaver (OWNER) |
| Authorized Official Contact | 9377181610 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Mentoring 1 On 1 119 Indianola Ave Dayton OH 45405-3538 Ph: (937) 718-1610 | Mentoring 1 On 1 119 Indianola Ave Dayton OH 45405-3538 Ph: (937) 718-1610 |
| NPI Number | 1790558120 |
|---|---|
| Provider Enumeration Date | 11/07/2023 |
| Last Update Date | 03/14/2024 |
| Certification Date | 03/14/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1790558120 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | (* (Not Available)) | Secondary |
| 171M00000X | Case Manager/care Coordinator | (* (Not Available)) | Primary |
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