Individual provider · Type 1 NPI

Mario Dwayne Hainesworth Sr.

Professional Counselor · Warren, OH

NPI number 1306458245 Active

Practice location

1705 Woodland St NE
Warren, OH 44483-5348

Specialties and licenses

TaxonomyCodeLicense
Professional Counselor Primary 101YP2500XE.2607289 (OH)

Professional Counselor: Definition to come...

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About NPI 1306458245

Mario Dwayne Hainesworth Sr.'s National Provider Identifier is 1306458245, issued on Aug 21, 2020. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Warren, OH. The record was last updated on Jul 1, 2026.