Individual provider · Type 1 NPI

Shaniqua Carmen Hazlip

Addiction (Substance Use Disorder) Counselor · Dayton, OH

NPI number 1235782004 Active

Practice location

1 Elizabeth Pl
Dayton, OH 45417-3445

Call (937) 813-1737 Map

Mailing address

807 Merry John Dr
Miamisburg, OH 45342-2043

Specialties and licenses

TaxonomyCodeLicense
Substance Abuse Rehabilitation Facility 324500000X170841 (OH)
Addiction (Substance Use Disorder) Counselor Primary 101YA0400XNone listed

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About NPI 1235782004

Shaniqua Carmen Hazlip's National Provider Identifier is 1235782004, issued on Jul 22, 2019. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Dayton, OH. The record was last updated on May 4, 2022.