Individual
NATHANIEL DANTE HASKINS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DSP
Contact information
Practice address
1111 SEYMOUR DR, ASHTABULA, OH 44004-5511
(440) 645-0633
Mailing address
1640 W 5TH ST, ASHTABULA, OH 44004-2834
(440) 645-0366
Taxonomy
Speciality
Code
Description
License number
State
101YP1600X
Pastoral Counselor
Primary
000111
OH
Other
Enumeration date
08/18/2021
Last updated
08/18/2021
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