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NPI Code Detail

MEDICARE: MARY MESSINGER LADAC

MEDICARE:   MARY  MESSINGER  LADAC
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) Counselor4667NM
2171M00000XCase Manager/Care Coordinator

General Provider Information

NPI Number : 1275670051
Entity Type Code : Individual
Provider Name (Legal Business Name) : MARY MESSINGER LADAC
Provider Business Mailing Address
First Line : 2005 ASHLAND AVE
Second Line :
City : TOLEDO
State : OH
Zip : 43620-1703
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 2005 ASHLAND AVE
Second Line :
City : TOLEDO
State : OH
Zip : 43620-1703
Country : US
Telephone Number : 198-417-7701
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/31/2007
Last Update Date : 08/15/2023

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Directions to “ MARY MESSINGER LADAC” Practice Location

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