Provider Demographics
NPI:1639851660
Name:LENNEX, JOSH WESLEY (CDCA)
Entity Type:Individual
Prefix:MR
First Name:JOSH
Middle Name:WESLEY
Last Name:LENNEX
Suffix:
Gender:M
Credentials:CDCA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:152 SWAUGER VALLEY RD
Mailing Address - Street 2:
Mailing Address - City:PORTSMOUTH
Mailing Address - State:OH
Mailing Address - Zip Code:45662-1100
Mailing Address - Country:US
Mailing Address - Phone:740-464-1602
Mailing Address - Fax:
Practice Address - Street 1:152 SWAUGER VALLEY RD
Practice Address - Street 2:
Practice Address - City:PORTSMOUTH
Practice Address - State:OH
Practice Address - Zip Code:45662-1100
Practice Address - Country:US
Practice Address - Phone:740-464-1602
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-08-01
Last Update Date:2023-08-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH183713101YA0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)Group - Single Specialty