Organization
HEALTHCARE VENTURE PARTNERS, LLC
Active
Other names
Northland Intervention Center
Organization subpart
No
Provider details
NPI number
Authorized official
MS. DEEANN N. MOCK LICD-CS, LPCC, NCC (C.O.O.)
(513) 753-9964
Entity
Organization
Contact information
Practice address
25 WHITNEY DRIVE, SUITE 122, MILFORD, OH 45150
(513) 753-9964
(513) 753-9968
Mailing address
25 WHITNEY DRIVE, SUITE 122, MILFORD, OH 45150
(513) 753-9964
(513) 753-9968
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
10698
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
10698
—
OH
Enumeration date
10/06/2006
Last updated
07/21/2022
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