Doctor Name: | DR. SARAH HANSON-LINDABURY |
NPI Number: | 1649429564 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | PCC & LICDC |
License Number: | 862183 |
Business Practice Address: | 775 Eliza Street Kenton, OH - 433261486 |
Business Phone Number: | 4196752243 |
Business Fax Number: | 4196744661 |
Mailing Address: | 530 S Main St, LIMA |
State: | OH |
Postal Code: | 458041240 |
Phone Number: | 4192221168 |
Fax Number: | 4192222158 |
NPI Enumeration Date: | 09/16/2008 |
NPI Last Update Date: | 05/13/2009 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YA0400X |
License Number: | 862183 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | OH |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Addiction (Substance Use Disorder) |
Taxonomy Definition: |