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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

MALLORY HASENAUER, CDCA. 173136

Active

MALLORY HASENAUER, CDCA. 173136 is a Peer Specialist healthcare provider located in COAL GROVE, Ohio. NPI 1730723495 is currently active in the NPPES registry. Verify at CMS.

Peer Specialist · COAL GROVE, OH

Registration Details

NPI Number
1730723495
Provider Type
Individual
Gender
Female
NPI Issued
Nov 5, 2019 (6.7464886271336 yrs)
Last Updated
May 21, 2024
Licenses
CDCA.173136 (OH)
APS.003696 (OH)

Practice Information

Address
323 MARION PIKE STE 3
COAL GROVE, OH, 456382958
Browse OH providers · Browse ZIP 45638
Phone
7406466640
Fax
8664757263
Primary Specialty
Peer Specialist
175T00000X
Additional Specialty
Case Manager
Additional Specialty
Peer Specialist

Other Peer Specialist Providers in COAL GROVE, OH

Name Credential NPI
WHITNEY G ROGNON CDCA, PRS 1275127995
ERIN E PEMBERTON APS.005409 1740935352
KELLY JENKINS PEER SUPPORTER 1346957537
MICHAL BOWLING 1164131223
FREDRICK JASON TACKETT APS.004051 1235820051
STEVIE MARIE NUTTER CDCA, CPRS 1942061908
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.