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NPI Code Detail

MEDICARE: DONITA KAYE MCGUIRE LCDC III

MEDICARE: DONITA KAYE MCGUIRE LCDC III
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) Counselor081108OH
21041C0700XClinical Social WorkerS1302845OH

General Provider Information

NPI Number : 1750606786
Entity Type Code : Individual
Provider Name (Legal Business Name) : DONITA KAYE MCGUIRE LCDC III
Provider Business Mailing Address
First Line : 1212 CHERRY ST
Second Line :
City : TOLEDO
State : OH
Zip : 43608-2906
Country : US
Telephone Number : 419-724-3133
Fax Number :
Provider Business Practice Location Address
First Line : 1212 CHERRY ST
Second Line :
City : TOLEDO
State : OH
Zip : 43608-2906
Country : US
Telephone Number : 419-724-3133
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/01/2010
Last Update Date : 12/09/2014

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