Individual provider · Type 1 NPI

Nicole Christine Booth, CDCA

Addiction (Substance Use Disorder) Counselor · Ashtabula, OH

NPI number 1407332612 Active

Practice location

2801 C Ct
Ashtabula, OH 44004-4577

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor Primary 101YA0400X165399 (OH)

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

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About NPI 1407332612

Nicole Christine Booth, CDCA's National Provider Identifier is 1407332612, issued on Jul 11, 2018. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Ashtabula, OH. The record was last updated on Jul 11, 2018.