Individual
MR. LARRY LOCKHART
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
150 CROSS STREET, AKRON, OH 44311-1026
(330) 996-9141
(330) 253-0377
Mailing address
150 CROSS STREET, AKRON, OH 44311-1026
(330) 996-9141
(330) 253-0377
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
CDCA.171401
OH
171M00000X
Case Manager/Care Coordinator
—
OH
175T00000X
Peer Specialist
Primary
—
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2847709
—
OH
Enumeration date
05/21/2019
Last updated
05/28/2021
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