Individual
DAVID KATHREIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LCDCIII
Contact information
Practice address
2115 WESTPARK DRIVE, LORAIN, OH 44052
(440) 989-4987
(440) 246-0189
Mailing address
2115 W PARK DR, LORAIN, OH 44053-1138
(440) 989-4987
(440) 246-0189
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
162486
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
LCDCIII.161835
LICENSE
OH
Enumeration date
06/08/2017
Last updated
07/21/2022
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