Individual
ALLISON M IMHOFF
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CDCA
Contact information
Practice address
680 PARK AVE W, MANSFIELD, OH 44906-3706
(419) 528-5993
(567) 560-5486
Mailing address
680 PARK AVE W, MANSFIELD, OH 44906-3706
(419) 528-5993
(567) 560-5486
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
CDCA.169464
OH
175T00000X
Peer Specialist
Primary
—
OH
Other
Enumeration date
03/07/2019
Last updated
12/30/2019
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