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Mrs. Shannon Davis Kaufman
Professional Counselor in Dayton, Ohio
NPI 1538789284

Shannon Davis Kaufman is a Professional Counselor based in Dayton, OH and is specialized in Professional. Shannon Davis Kaufman practices in Dayton, OH. The NPI Number for Shannon Davis Kaufman is 1538789284 and holds a License No. LCDCIII.161421 (Ohio).

The current practice location address for Shannon Davis Kaufman is National Youth Advocate Program, Dayton, OH and can be reached out via phone at 937-253-0606.

Location: National Youth Advocate Program, Dayton, OH, 45432
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Provider Profile Details
NPI Number
1538789284
Provider Name
Shannon Davis Kaufman
Credential
Provider Entity Type
Individual
Gender
Female
Address
National Youth Advocate Program, Dayton, OH, 45432
Phone Number
937-253-0606
Fax Number
Provider Enumeration Date
04/23/2020
Last Update Date
03/10/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
LCDCIII.161421 01 OH PROFESSIONAL CHEMICAL DEPENDENCY LICENSE
C.1100468 01 OH PROFESSIONAL COUNSELING LICENSE
institution
Provider Business Practice Location Address Details
Address
National Youth Advocate Program
City
State
Zip
45432
Phone Number
937-253-0606
Fax Number
person
Provider Business Mailing Address Details
Address
National Youth Advocate Program
City
State
Zip
45432
Phone Number
937-253-0606
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Addiction (Substance Use Disorder)
Taxonomy
License No.
C.1100468 (Ohio)
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Professional
Taxonomy
License No.
LCDCIII.161421 (Ohio)
Definition
Definition to come...
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