Individual
HANNAH LARESE BOOTH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPCC
Contact information
Practice address
3575 FOREST LAKE DR, UNIONTOWN, OH 44685-8115
(330) 703-0105
Mailing address
3575 FOREST LAKE DR, UNIONTOWN, OH 44685-8115
(330) 543-7026
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
C.2204183
OH
Other
Enumeration date
07/15/2022
Last updated
08/26/2024
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