DESTINEE JAYDE LOVELY

CHILLICOTHE, OH
NPI1073388773
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: OH  CDCA.186254)
Enumeration Date2023-11-22
Last Update Date2023-11-22
Business Address
DESTINEE JAYDE LOVELY CDCA
4449 STATE ROUTE 159
CHILLICOTHE, OH 45601-8620
Phone number: 740-772-7957
Mailing Address
DESTINEE JAYDE LOVELY CDCA
PO BOX 6179
CHILLICOTHE, OH 45601-6179
Phone number: 740-772-7957