Healthcare Provider Details

I. General information

NPI: 1881313344
Provider Name (Legal Business Name): THOMAS KUHAR
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/26/2022
Last Update Date: 08/26/2022
Certification Date: 08/26/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3622 BELMONT AVE STE 21
YOUNGSTOWN OH
44505-1444
US

IV. Provider business mailing address

943 FREDERICK ST
NILES OH
44446-2721
US

V. Phone/Fax

Practice location:
  • Phone: 234-719-1885
  • Fax:
Mailing address:
  • Phone: 330-553-3978
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YA0400X
TaxonomyAddiction (Substance Use Disorder) Counselor
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: