MRS. Jessica A Humphrey, CDCA

NPI #1700500451 in New Carlisle, Ohio

Provider Information

NPI Number: 1700500451
Entity Type: Individual
Name: MRS. Jessica A Humphrey, CDCA
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Counselor - Addiction (Substance Use Disorder)
Credential: CDCA
Enumeration Date: Sep 27, 2022
Last Updated: Oct 19, 2022

Practice Location

Address: 304 ZIMMERMAN ST
City: New Carlisle
State: Ohio
ZIP Code: 45344-1515
Phone: (937) 986-7180

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Counselor - Addiction (Substance Use Disorder) — Addiction (Substance Use Disorder)	101YA0400X	Primary

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