Doctor Name: | CARRIE DAWN DENNIS |
NPI Number: | 1144416363 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | LPCC |
License Number: | C0008151 |
Business Practice Address: | 1340 Crest Rd Reynoldsburg, OH - 430682313 |
Business Phone Number: | 6143671108 |
Business Fax Number: | 6145013009 |
Mailing Address: | 1340 Crest Rd, REYNOLDSBURG |
State: | OH |
Postal Code: | 430682313 |
Phone Number: | 6143671108 |
Fax Number: | 6145013009 |
NPI Enumeration Date: | 09/20/2007 |
NPI Last Update Date: | 09/20/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YP2500X |
License Number: | C0008151 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | OH |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Professional |
Taxonomy Definition: |