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Adam Shane
Mental Health Counselor in Dayton, Ohio
NPI 1114428596

Adam Shane is a Mental Health Counselor based in Dayton, OH and is specialized in Mental Health. Adam Shane practices in Dayton, OH. The NPI Number for Adam Shane is 1114428596 and holds a License No. C.1700654-TRNE (Ohio).

The current practice location address for Adam Shane is 6300 N Main St, Dayton, OH and can be reached out via phone at 937-275-1500.

Location: 6300 N Main St, Dayton, OH, 45458-2320
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1114428596
Provider Name
Adam Shane
Credential
Provider Entity Type
Individual
Gender
Male
Address
6300 N Main St, Dayton, OH, 45458-2320
Phone Number
937-275-1500
Fax Number
Provider Enumeration Date
02/22/2018
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
6300 N Main St
City
Dayton
State
Ohio
Zip
45415-3154
Phone Number
937-275-1500
Fax Number
person
Provider Business Mailing Address Details
Address
6300 N Main St
City
Dayton
State
Ohio
Zip
45415-3154
Phone Number
937-275-1500
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
101YM0800X
License No.
C.1700654-TRNE (Ohio)
Definition
Definition to come...
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