Most Relevant Information
Provider Data
| NPI Number: | 1003426917 |
| Provider Name: | CARESSE BOYD |
| Entity Type: | Individual |
| Taxonomy Code: | 101YA0400X |
| Specialty: | Counselor |
| License Number: | 140757 |
Most Important Dates
| Enumeration Date: | 08/05/2020 |
| Last Updated: | 08/16/2024 |
Provider Practice Location
7031 CORPORATE WAY STE 103
DAYTON
OH
454594262
Practice Location Phone/Fax
| Phone: | 9376199089 |
| Fax: | 9372656028 |
Provider Mailing Location
7031 CORPORATE WAY STE 103
DAYTON
OH
454594262
Provider Mailing Phone/Fax
| Phone: | 9376199089 |
| Fax: | 9372656028 |