Individual provider · Type 1 NPI

Connie Underwood, LCDC III

Addiction (Substance Use Disorder) Counselor · Cincinnati, OH

NPI number 1306204979 Active

Practice location

2211 Fulton Ave
Cincinnati, OH 45206

Call (513) 961-4663 Map

Mailing address

3819 Simpson Ave
Cincinnati, OH 45227-3642

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor Primary 101YA0400XLCDCIII161742 (OH)

Addiction (Substance Use Disorder) Counselor: Definition to come...

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About NPI 1306204979

Connie Underwood, LCDC III's National Provider Identifier is 1306204979, issued on Feb 10, 2016. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Cincinnati, OH. The record was last updated on Jul 7, 2018.