SHANE D HUMPHREY

DAYTON, OH
NPI1013616408
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: OH  CDCA.186047)
Additional Taxonomies171M00000X Case Manager/Care Coordinator
Enumeration Date2023-02-24
Last Update Date2023-11-29
Business Address
SHANE D HUMPHREY CDCA
1 ELIZABETH PL
DAYTON, OH 45417-3445
Phone number: 937-813-1737
Mailing Address
SHANE D HUMPHREY CDCA
1 ELIZABETH PL
DAYTON, OH 45417-3445
Phone number: 937-813-1737