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NPI Code Detail

MEDICARE: MS. ANGELA R PLANT LCDC III

MEDICARE: MS. ANGELA R PLANT 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) Counselor101026OH

General Provider Information

NPI Number : 1689905630
Entity Type Code : Individual
Provider Name (Legal Business Name) : MS. ANGELA R PLANT LCDC III
Provider Business Mailing Address
First Line : 5409 STATE ROUTE 113
Second Line :
City : BELLEVUE
State : OH
Zip : 44811-9708
Country : US
Telephone Number : 419-483-3918
Fax Number : 419-484-1203
Provider Business Practice Location Address
First Line : 5433 STATE ROUTE 113
Second Line :
City : BELLEVUE
State : OH
Zip : 44811-9708
Country : US
Telephone Number : 567-256-3450
Fax Number : 567-256-3451
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/14/2010
Last Update Date : 01/14/2010

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Directions to “ MS. ANGELA R PLANT LCDC III” Practice Location

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