Individual
CARLA N ERWIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCDCII, QMHS
Contact information
Practice address
700 PARK AVE, IRONTON, OH 45638-1502
(740) 532-1613
(740) 532-1715
Mailing address
PO BOX 108, IRONTON, OH 45638-0108
(740) 532-1613
(740) 532-1715
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
LCDCII.161759
OH
171M00000X
Case Manager/Care Coordinator
CDCA.173501
OH
171M00000X
Case Manager/Care Coordinator
CDCA.177032
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0402269
—
OH
Enumeration date
05/01/2020
Last updated
08/02/2023
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