Individual
SEAN HOWARD GROSSARTH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PSA, CDCA-P, RA
Contact information
Practice address
201 S COLUMBUS ST, LANCASTER, OH 43130-4315
(740) 687-4500
(740) 687-4595
Mailing address
201 S COLUMBUS ST, LANCASTER, OH 43130-4315
(740) 687-4500
(740) 687-4595
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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