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NPI Code Detail

MEDICARE: KAHLA BARTH CDCA-I

MEDICARE: KAHLA BARTH CDCA-I
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) CounselorCDCA.188072OH

General Provider Information

NPI Number : 1932955754
Entity Type Code : Individual
Provider Name (Legal Business Name) : KAHLA BARTH CDCA-I
Provider Business Mailing Address
First Line : 8785 MENTOR AVE
Second Line :
City : MENTOR
State : OH
Zip : 44060-6209
Country : US
Telephone Number : 440-701-6590
Fax Number :
Provider Business Practice Location Address
First Line : 8785 MENTOR AVE
Second Line :
City : MENTOR
State : OH
Zip : 44060-6209
Country : US
Telephone Number : 440-701-6590
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/24/2024
Last Update Date : 04/24/2024

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Directions to “ KAHLA BARTH CDCA-I” Practice Location

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