| Doctor Name: | MR. RICHARD ALLAN HOERNEMANN |
| NPI Number: | 1023432614 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | LPC, LSW, LICDC |
| License Number: | |
| Business Practice Address: | 975 Commerce Dr Perrysburg, OH - 435515228 |
| Business Phone Number: | 4198748257 |
| Business Fax Number: | 4198749960 |
| Mailing Address: | 975 Commerce Dr, PERRYSBURG |
| State: | OH |
| Postal Code: | 435515228 |
| Phone Number: | 4198748257 |
| Fax Number: | 4198749960 |
| NPI Enumeration Date: | 02/18/2014 |
| NPI Last Update Date: | 02/18/2014 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101YA0400X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | Addiction (Substance Use Disorder) |
| Taxonomy Definition: | |