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Individual

HANNAH BLANKENSHIP

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LPN.171264.MEDS-IV

Taxonomy

Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
CDCA172482
OH
163WA0400X
Addiction (Substance Use Disorder) Registered Nurse
Primary
RN.532364
OH
164W00000X
Licensed Practical Nurse
LPN.171264.MEDS-IV
OH
171M00000X
Case Manager/Care Coordinator

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0383244
OH
Enumeration date
12/17/2019
Last updated
04/25/2024
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