Individual
DARRYL KEITH LANIER JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
430 N BROADWAY ST, GREEN SPRINGS, OH 44836-9734
(419) 307-9128
Mailing address
213 BUCKEYE BLVD APT 5, PORT CLINTON, OH 43452-1467
(419) 603-0867
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
CDCA.194383
OH
175T00000X
Peer Specialist
Primary
APS.005036
OH
Other
Enumeration date
03/18/2025
Last updated
11/20/2025
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