person
Shana Ruth Koslow
Addiction (Substance Use Disorder) Counselor in Middletown, Ohio
NPI 1740705896

Shana Ruth Koslow is an Addiction (Substance Use Disorder) Counselor based in Cincinnati, OH and is specialized in Addiction (Substance Use Disorder). Shana Ruth Koslow practices in Middletown, OH. The NPI Number for Shana Ruth Koslow is 1740705896 and holds a License No. LCDCIII.161718 (Ohio).

The current practice location address for Shana Ruth Koslow is 160 N Breiel Blvd, Middletown, OH and can be reached out via phone at 513-941-4999 and via fax at 513-694-0168.

Location: 160 N Breiel Blvd, Middletown, OH, 45247-7958
person
Provider Profile Details
NPI Number
1740705896
Provider Name
Shana Ruth Koslow
Credential
Provider Entity Type
Individual
Gender
Female
Address
160 N Breiel Blvd, Middletown, OH, 45247-7958
Phone Number
513-941-4999
Fax Number
513-694-0168
Provider Enumeration Date
08/10/2017
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
0267211 05 OH
institution
Provider Business Practice Location Address Details
Address
160 N Breiel Blvd
City
State
Zip
45042-3806
Phone Number
513-941-4999
Fax Number
513-694-0168
person
Provider Business Mailing Address Details
Address
160 N Breiel Blvd
City
State
Zip
45042-3806
Phone Number
513-941-4999
Fax Number
513-694-0168
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Addiction (Substance Use Disorder)
Taxonomy
License No.
C.2203883-TRNE (Ohio)
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
License No.
CDCA.111482 (Ohio)
Definition
Definition to come...
person
Provider's Taxonomy Details 3
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Professional
Taxonomy
License No.
LCDCIII.161718 (Ohio)
Definition
Definition to come...
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