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NPI Code Detail

MEDICARE: CHASITY M CONNER

MEDICARE: CHASITY M CONNER
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1390200000XStudent in an Organized Health Care Education/Training ProgramCDCA.183503OH
2101YA0400XAddiction (Substance Use Disorder) CounselorCDCA.187245OH
3101YA0400XAddiction (Substance Use Disorder) CounselorLCDCIII.162961OH

General Provider Information

NPI Number : 1154182566
Entity Type Code : Individual
Provider Name (Legal Business Name) : CHASITY M CONNER
Provider Business Mailing Address
First Line : 9145 GOVERNORS WAY
Second Line :
City : CINCINNATI
State : OH
Zip : 45249-2037
Country : US
Telephone Number : 513-637-3571
Fax Number :
Provider Business Practice Location Address
First Line : 9145 GOVERNORS WAY
Second Line :
City : CINCINNATI
State : OH
Zip : 45249-2037
Country : US
Telephone Number : 513-637-3571
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/22/2024
Last Update Date : 04/13/2026

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Directions to “ CHASITY M CONNER ” Practice Location

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