Individual provider · Type 1 NPI

Thomas Walker Dornbusch, BS, CDCA

Addiction (Substance Use Disorder) Counselor · Mansfield, OH

NPI number 1174066047 Active

Practice location

151 Marion Ave
Mansfield, OH 44903-2223

Call (419) 522-1580 Map

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor Primary 101YA0400X150831 (OH)

Addiction (Substance Use Disorder) Counselor: Definition to come...

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About NPI 1174066047

Thomas Walker Dornbusch, BS, CDCA's National Provider Identifier is 1174066047, issued on Nov 28, 2016. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Mansfield, OH. The record was last updated on Nov 28, 2016.