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NPI Code Detail

MEDICARE: JOHN DAVID HIATT LPCC

MEDICARE: JOHN DAVID HIATT LPCC
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
1101YP2500XProfessional CounselorE.0900625OH
2101YM0800XMental Health Counselor39001607AIN

General Provider Information

NPI Number : 1982792024
Entity Type Code : Individual
Provider Name (Legal Business Name) : JOHN DAVID HIATT LPCC
Provider Business Mailing Address
First Line : 88 N SANDUSKY ST
Second Line :
City : DELAWARE
State : OH
Zip : 43015-1756
Country : US
Telephone Number : 740-203-3800
Fax Number :
Provider Business Practice Location Address
First Line : 88 N SANDUSKY ST
Second Line :
City : DELAWARE
State : OH
Zip : 43015-1756
Country : US
Telephone Number : 740-203-3800
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/11/2006
Last Update Date : 03/26/2021

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Directions to “ JOHN DAVID HIATT LPCC” Practice Location

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