Individual provider · Type 1 NPI

Carolyn D. Massengale -Hasan, 171M00000X

Addiction (Substance Use Disorder) Counselor · Cleveland, OH

NPI number 1710490628 Active

Practice location

1400 E 55th St
Cleveland, OH 44103-1304

Call (216) 369-8550 Map

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor Primary 101YA0400X190703 (OH)

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

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About NPI 1710490628

Carolyn D. Massengale -Hasan, 171M00000X's National Provider Identifier is 1710490628, issued on Nov 14, 2017. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Cleveland, OH. The record was last updated on Dec 20, 2024.