Connell, Katrina

Connell, Katrina is an individual health care provider with primary practice located at 5563 Far Hills Ave , Dayton OH 45429-2225. She recently has 4 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), Behavioral Health & Social Service Providers / Social Worker, Other Service Providers / Prevention Professional, Behavioral Health & Social Service Providers / Clinical. Behavioral Health & Social Service Providers / Clinical is her primary health care specialty. Connell, Katrina can be contacted via phone (937) 291-2300.

Contact Information

Primary practice address
5563 Far Hills Ave Dayton OH 45429-2225
Phone: (937) 291-2300
Fax: (937) 291-2303
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X 166548 Ohio
Behavioral Health & Social Service Providers / Social Worker 104100000X S.1903328 Ohio
Behavioral Health & Social Service Providers / Social Worker 104100000X I.2304605 Ohio
Other Service Providers / Prevention Professional 405300000X 161761 Ohio
Behavioral Health & Social Service Providers / Clinical 1041C0700X I.2304605 Ohio

Profile Details

NPI number 1346728714
LBN Legal business name Connell, Katrina
Credentials LISW
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 30th, 2018
Last updated Mar 22nd, 2024 - about last year

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1346728714 NPPES
Ohio MEDICAID 0333299

Popular Providers