Individual
CARL N HENTHORN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LCDCIII
Contact information
Practice address
36 N DETROIT ST, XENIA, OH 45385-2909
(937) 610-4673
Mailing address
100 CROWNE POINT PL, CINCINNATI, OH 45241-5427
(513) 942-4673
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
LCDCIII.162567
OH
Other
Enumeration date
10/10/2019
Last updated
06/20/2024
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