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NPI Code Detail

MEDICARE: HANNAH CATHERINE RUNGE CDCA

MEDICARE: HANNAH CATHERINE RUNGE CDCA
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1101YA0400XAddiction (Substance Use Disorder) CounselorCDCA.184514OH

General Provider Information

NPI Number : 1730818881
Entity Type Code : Individual
Provider Name (Legal Business Name) : HANNAH CATHERINE RUNGE CDCA
Provider Business Mailing Address
First Line : 4600 MONTGOMERY RD STE 400
Second Line :
City : CINCINNATI
State : OH
Zip : 45212-2600
Country : US
Telephone Number : 833-510-4357
Fax Number :
Provider Business Practice Location Address
First Line : 540 GRISWOLD RD
Second Line :
City : ELYRIA
State : OH
Zip : 44035-2305
Country : US
Telephone Number : 833-510-4357
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/06/2022
Last Update Date : 05/07/2024

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Directions to “ HANNAH CATHERINE RUNGE CDCA” Practice Location

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