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David Paul Hanlon, LICDC
Addiction (Substance Use Disorder) Counselor in Mentor, Ohio
NPI 1336485804

David Paul Hanlon is an Addiction (Substance Use Disorder) Counselor based in Mentor, OH and is specialized in Addiction (Substance Use Disorder). David Paul Hanlon practices in Mentor, OH and has the professional credentials of LICDC. The NPI Number for David Paul Hanlon is 1336485804 and holds a License No. 923361 (Ohio).

The current practice location address for David Paul Hanlon is 9083 Mentor Ave, Mentor, OH and can be reached out via phone at 440-255-0678.

Location: 9083 Mentor Ave, Mentor, OH, 44060-6462
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1336485804
Provider Name
David Paul Hanlon
Credential
LICDC
Provider Entity Type
Individual
Gender
Male
Address
9083 Mentor Ave, Mentor, OH, 44060-6462
Phone Number
440-255-0678
Fax Number
Provider Enumeration Date
01/02/2013
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
2864664 05 OH
2847334 05 OH
institution
Provider Business Practice Location Address Details
Address
9083 Mentor Ave
City
Mentor
State
Ohio
Zip
44060-6462
Phone Number
440-255-0678
Fax Number
person
Provider Business Mailing Address Details
Address
9083 Mentor Ave
City
Mentor
State
Ohio
Zip
44060-6462
Phone Number
440-255-0678
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.
923361 (New York)
Definition
Definition to come...
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