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Shaniqua Carmen Hazlip
Addiction (Substance Use Disorder) Counselor in Dayton, Ohio
NPI 1235782004

Shaniqua Carmen Hazlip is an Addiction (Substance Use Disorder) Counselor based in Miamisburg, OH and is specialized in Addiction (Substance Use Disorder). Shaniqua Carmen Hazlip practices in Dayton, OH. The NPI Number for Shaniqua Carmen Hazlip is 1235782004 and holds a License No. 170841 (Ohio).

The current practice location address for Shaniqua Carmen Hazlip is 1 Elizabeth Pl, Dayton, OH and can be reached out via phone at 937-813-1737. You can also correspond with Shaniqua Carmen Hazlip through the mailing address at 807 MERRY JOHN DR, MIAMISBURG, OH - 45342-2043 (mailing address contact number: 937-369-5910).

Location: 1 Elizabeth Pl, Dayton, OH, 45342-2043
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1235782004
Provider Name
Shaniqua Carmen Hazlip
Credential
Provider Entity Type
Individual
Gender
Female
Address
1 Elizabeth Pl, Dayton, OH, 45342-2043
Phone Number
937-813-1737
Fax Number
Provider Enumeration Date
07/22/2019
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
1 Elizabeth Pl
City
Dayton
State
Ohio
Zip
45417-3445
Phone Number
937-813-1737
Fax Number
person
Provider Business Mailing Address Details
Address
807 Merry John Dr
City
Miamisburg
State
Ohio
Zip
45342-2043
Phone Number
937-369-5910
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Addiction (Substance Use Disorder)
Taxonomy
101YA0400X
License No.
()
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Residential Treatment Facilities
Classification
Substance Abuse Rehabilitation Facility
Speciality
-
Taxonomy
324500000X
License No.
170841 (Ohio)
Definition
A facility or distinct part of a facility that provides a 24 hr therapeutically planned living and rehabilitative intervention environment for the treatment of individuals with disorders in the abuse of drugs, alcohol, and other substances.
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