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Carl Duane Mathews JR.
Mental Health Counselor in Warren, Ohio
NPI 1982265310

Carl Duane Mathews JR. is a Mental Health Counselor based in Warren, OH and is specialized in Mental Health. Carl Duane Mathews JR. practices in Warren, OH. The NPI Number for Carl Duane Mathews JR. is 1982265310 and holds a License No. (Ohio).

The current practice location address for Carl Duane Mathews JR. is 318 Mahoning Ave Nw, Warren, OH and can be reached out via phone at 330-395-9563.

Location: 318 Mahoning Ave Nw, Warren, OH, 44485-2016
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1982265310
Provider Name
Carl Duane Mathews JR.
Credential
Provider Entity Type
Individual
Gender
Male
Address
318 Mahoning Ave Nw, Warren, OH, 44485-2016
Phone Number
330-395-9563
Fax Number
Provider Enumeration Date
06/26/2019
Last Update Date
03/10/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
000000503722 01 OH ANTHEM
institution
Provider Business Practice Location Address Details
Address
318 Mahoning Ave Nw
City
Warren
State
Ohio
Zip
44483-4605
Phone Number
330-395-9563
Fax Number
person
Provider Business Mailing Address Details
Address
318 Mahoning Ave Nw
City
Warren
State
Ohio
Zip
44483-4605
Phone Number
330-395-9563
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
101YM0800X
License No.
()
Definition
Definition to come...
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