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Individual

MR. HARRY F LOVE

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
LPCC-S

Contact information

Practice address
4464 S DIXIE HWY, MIDDLETOWN, OH 45005-5464
(513) 649-8008
(513) 649-8004
Mailing address
4464 S DIXIE HWY, MIDDLETOWN, OH 45005-5464
(513) 649-8008
(513) 649-8004

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
E.0700307
OH
101YP2500X
Professional Counselor
Primary
E.0700307
OH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
0074861
MEDICAID LEGACY NUMBER CHEMICAL DEPENDENCY
OH
01
0074946
MEDICAID LEGACY NUMBER MENTAL HEALTH
OH
01
01-0693
CARF CERTIFICATION
OH
01
H130910
MEDICARE GROUP PTAN
OH
Enumeration date
09/29/2009
Last updated
02/09/2017
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