Individual
SEAN HOWARD GROSSARTH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PSA, CDCA-P, RA
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
CDCA.166229
OH
175T00000X
Peer Specialist
Primary
00435
OH
405300000X
Prevention Professional
RA.161611
OH
Other
Enumeration date
03/08/2018
Last updated
03/08/2018
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