JENNIFER MAE LAVENE BREITENBACH CDCA
NPI 1548772965
Counselor - Addiction (Substance Use Disorder) in Piketon, OH
Active since October 25, 2017
About Jennifer Mae Lavene Breitenbach Cdca NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
JENNIFER MAE LAVENE BREITENBACH CDCA (NPI 1548772965) is an individual addiction (substance use disorder) provider in Piketon, Ohio, licensed in Ohio (162885) and active in the NPI registry since October 2017.
NPPES Registry Identity
NPI1548772965
Entity TypeIndividualFemale
Primary Taxonomy101YA0400X
Provider Legal NameJENNIFER MAE LAVENE BREITENBACHCredential: CDCA
Location Address15221 STATE ROUTE 772Piketon, OH 45661-9062
Mailing AddressPo Box 226Waverly, OH 45690-0226 · (740) 493-4260 · Fax (740) 493-4262
Phone(740) 493-4260
Fax(740) 493-4262
Sole ProprietorNo
Enumeration DateOctober 25, 2017
✔ NPI 1548772965 is a valid, active identifier and passes the ISO check-digit test.
Specialties & Licenses
★ Primary SpecialtyCounselor · Addiction (Substance Use Disorder)Behavioral Health & Social Service Providers
Taxonomy Code101YA0400X
License✔ Licensed in OH · 162885
15221 STATE ROUTE 772, Piketon, OH 45661
Other Providers at the Same Location NPPES 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
Counselor (Addiction (Substance Use Disorder))
15221 STATE ROUTE 772
PIKETON, OH 45661
PIKETON, OH 45661
Counselor (Addiction (Substance Use Disorder))
15221 STATE ROUTE 772
PIKETON, OH 45661
PIKETON, OH 45661
Counselor (Addiction (Substance Use Disorder))
15221 STATE ROUTE 772
PIKETON, OH 45661
PIKETON, OH 45661
Counselor (Addiction (Substance Use Disorder))
15221 STATE ROUTE 772
PIKETON, OH 45661
PIKETON, OH 45661
Counselor (Addiction (Substance Use Disorder))
15221 STATE ROUTE 772
PIKETON, OH 45661
PIKETON, OH 45661
Counselor (Addiction (Substance Use Disorder))
15221 STATE ROUTE 772
PIKETON, OH 45661
PIKETON, OH 45661
Counselor (Addiction (Substance Use Disorder))
15221 STATE ROUTE 772
PIKETON, OH 45661
PIKETON, OH 45661
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1548772965, enumerated as an "individual" on October 25, 2017.
The provider is located at 15221 STATE ROUTE 772 PIKETON, OH 45661 and the phone number is (740) 493-4260.
Counselor with taxonomy code 101YA0400X and a focus in Addiction (Substance Use Disorder).