Individual
MARIO HAINESWORTH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1704 NORTH RD SE, WARREN, OH 44484-2958
(330) 856-4111
(330) 856-5839
Mailing address
1704 NORTH RD SE, WARREN, OH 44484-2958
(330) 856-4111
(330) 856-5839
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
C.2305659
OH
106S00000X
Behavior Technician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
UB810533
DRIVER LICENSE
OH
Enumeration date
07/27/2021
Last updated
11/17/2025
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