NICOLE ALEXANDRIA MIRACLE

XENIA, OH
NPI1275394371
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: OH  186560)
Enumeration Date2024-01-17
Last Update Date2024-01-17
Business Address
NICOLE ALEXANDRIA MIRACLE CDCA
1087 W 2ND ST
XENIA, OH 45385-3713
Phone number: 937-708-8053
Mailing Address
NICOLE ALEXANDRIA MIRACLE CDCA
42 E HELENA ST APT G
DAYTON, OH 45405-4210
Phone number: 937-794-2844