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NPI Code Detail

MEDICARE: CHRISTINE A LAWHORN MA. CDCA

MEDICARE: CHRISTINE A LAWHORN MA. 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) Counselor165010OH

General Provider Information

NPI Number : 1477052421
Entity Type Code : Individual
Provider Name (Legal Business Name) : CHRISTINE A LAWHORN MA. CDCA
Provider Business Mailing Address
First Line : 5122 GLENCROSSING WAY
Second Line :
City : CINCINNATI
State : OH
Zip : 45238-3361
Country : US
Telephone Number : 513-827-9044
Fax Number : 513-832-1332
Provider Business Practice Location Address
First Line : 5122 GLENCROSSING WAY
Second Line :
City : CINCINNATI
State : OH
Zip : 45238-3361
Country : US
Telephone Number : 513-827-9044
Fax Number : 513-832-1332
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/06/2018
Last Update Date : 02/06/2018

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Directions to “ CHRISTINE A LAWHORN MA. CDCA” Practice Location

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