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Timothy Batdorf, LICDC
Addiction (Substance Use Disorder) Counselor in Mansfield, Ohio
NPI 1669800959

Timothy Batdorf is an Addiction (Substance Use Disorder) Counselor based in Mansfield, OH and is specialized in Addiction (Substance Use Disorder). Timothy Batdorf practices in Mansfield, OH and has the professional credentials of LICDC. The NPI Number for Timothy Batdorf is 1669800959 and holds a License No. 131204 (Ohio).

The current practice location address for Timothy Batdorf is 13 Park Ave W, Mansfield, OH and can be reached out via phone at 419-522-5015.

Location: 13 Park Ave W, Mansfield, OH, 44902-1714
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1669800959
Provider Name
Timothy Batdorf
Credential
LICDC
Provider Entity Type
Individual
Gender
Male
Address
13 Park Ave W, Mansfield, OH, 44902-1714
Phone Number
419-522-5015
Fax Number
Provider Enumeration Date
10/23/2013
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
13190 05 OH
institution
Provider Business Practice Location Address Details
Address
13 Park Ave W
City
Mansfield
State
Ohio
Zip
44902-1714
Phone Number
419-522-5015
Fax Number
person
Provider Business Mailing Address Details
Address
13 Park Ave W
City
Mansfield
State
Ohio
Zip
44902-1714
Phone Number
419-522-5015
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.
131204 (Ohio)
Definition
Definition to come...
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