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Provider Information for 1982792024


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JOHN DAVID HIATT LPCC


Sex: Male

NPI: 1982792024
Last Updated: 2021-03-26
Certification Date: 2021-03-26

Details

NameValue
NPI1982792024
Enumeration Date2006-10-11
NPI TypeNPI-1 Individual
Sole ProprietorNO
StatusActive
Mailing Address 88 N SANDUSKY ST
DELAWARE, OH 43015-1756
United States

Phone: 740-203-3800 | Fax:
 
Primary Practice Address 88 N SANDUSKY ST
DELAWARE, OH 43015-1756
United States

Phone: 740-203-3800 | Fax:
 
Secondary Practice Address(es)
Health Information Exchange
Endpoint TypeEndpointEndpoint DescriptionUseContent TypeAffiliationEndpoint Location
Other Identifiers
IssuerStateNumberOther Issuer
Taxonomy
Primary TaxonomySelected TaxonomyStateLicense Number
Yes 101YP2500X - Counselor - ProfessionalOHE.0900625
No 101YM0800X - Counselor - Mental HealthIN39001607A