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Holly Lyn Conklin, CDC-A,CIP
Addiction (Substance Use Disorder) Counselor in Van Wert, Ohio
NPI 1437713492

Holly Lyn Conklin is an Addiction (Substance Use Disorder) Counselor based in Van Wert, OH and is specialized in Addiction (Substance Use Disorder). Holly Lyn Conklin practices in Van Wert, OH and has the professional credentials of CDC-A,CIP. The NPI Number for Holly Lyn Conklin is 1437713492 and holds a License No. CDCA.169820 (Ohio).

The current practice location address for Holly Lyn Conklin is 123 S Washington St, Van Wert, OH and can be reached out via phone at 918-500-2570 and via fax at 419-771-1051.

Location: 123 S Washington St, Van Wert, OH, 45891-1707
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1437713492
Provider Name
Holly Lyn Conklin
Credential
CDC-A,CIP
Provider Entity Type
Individual
Gender
Female
Address
123 S Washington St, Van Wert, OH, 45891-1707
Phone Number
918-500-2570
Fax Number
419-771-1051
Provider Enumeration Date
04/25/2019
Last Update Date
03/10/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
427664 05 OH
institution
Provider Business Practice Location Address Details
Address
123 S Washington St
City
Van Wert
State
Ohio
Zip
45891-1707
Phone Number
918-500-2570
Fax Number
419-771-1051
person
Provider Business Mailing Address Details
Address
123 S Washington St
City
Van Wert
State
Ohio
Zip
45891-1707
Phone Number
918-500-2570
Fax Number
419-771-1051
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Addiction (Substance Use Disorder)
Taxonomy
101YA0400X
License No.
CDCA.169820 (Ohio)
Definition
Definition to come...
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