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
Certification Date: 2021-03-26
Details
Name | Value | ||||||||||||
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NPI | 1982792024 | ||||||||||||
Enumeration Date | 2006-10-11 | ||||||||||||
NPI Type | NPI-1 Individual | ||||||||||||
Sole Proprietor | NO | ||||||||||||
Status | Active | ||||||||||||
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: | ||||||||||||
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