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Nicole R Wildroudt, LICDC
Addiction (Substance Use Disorder) Counselor in Dayton, Ohio
NPI 1235526096

Nicole R Wildroudt is an Addiction (Substance Use Disorder) Counselor based in Dayton, OH and is specialized in Addiction (Substance Use Disorder). Nicole R Wildroudt practices in Dayton, OH and has the professional credentials of LICDC. The NPI Number for Nicole R Wildroudt is 1235526096 and holds a License No. (Ohio).

The current practice location address for Nicole R Wildroudt is 601 S Edwin C Moses Blvd, Dayton, OH and can be reached out via phone at 937-734-9482 and via fax at 937-224-1625.

Location: 601 S Edwin C Moses Blvd, Dayton, OH, 45417-3424
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1235526096
Provider Name
Nicole R Wildroudt
Credential
LICDC
Provider Entity Type
Individual
Gender
Female
Address
601 S Edwin C Moses Blvd, Dayton, OH, 45417-3424
Phone Number
937-734-9482
Fax Number
937-224-1625
Provider Enumeration Date
04/20/2015
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
601 S Edwin C Moses Blvd
City
Dayton
State
Ohio
Zip
45417-3424
Phone Number
937-734-9482
Fax Number
937-224-1625
person
Provider Business Mailing Address Details
Address
601 S Edwin C Moses Blvd
City
Dayton
State
Ohio
Zip
45417-3424
Phone Number
937-734-9482
Fax Number
937-224-1625
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Addiction (Substance Use Disorder)
Taxonomy
101YA0400X
License No.
LICDC.162012 (Ohio)
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Other Service Providers
Classification
Case Manager/Care Coordinator
Speciality
-
Taxonomy
171M00000X
License No.
()
Definition
A person who provides case management services and assists an individual in gaining access to needed medical, social, educational, and/or other services. The person has the ability to provide an assessment and review of completed plan of care on a periodic basis. This person is also able to take collaborative action to coordinate the services with other providers and monitor the enrollee's progress toward the cost-effective achievement of objectives specified in the plan of care. Credentials may vary from an experience in the fields of psychology, social work, rehabilitation, nursing or a closely related human service field, to a related Assoc of Arts Degree or to nursing credentials. Some states may require certification in case management.
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