| St Voltaire Inc | |
|
489 Dewdrop Cir Apt C Cincinnati OH 45240-3799 | |
| (513) 975-9216 | |
| Not Available |
| Full Name | St Voltaire Inc |
|---|---|
| Speciality | Counselor - Addiction (substance Use Disorder) |
| Location | 489 Dewdrop Cir Apt C, Cincinnati, Ohio |
| Authorized Official Name and Position | Lavar Deon Mack (PASTORAL) |
| Authorized Official Contact | 5139759216 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| St Voltaire Inc 489 Dewdrop Cir Apt C Cincinnati OH 45240-3799 Ph: (513) 975-9216 | St Voltaire Inc 489 Dewdrop Cir Apt C Cincinnati OH 45240-3799 Ph: (513) 975-9216 |
| NPI Number | 1992582910 |
|---|---|
| Provider Enumeration Date | 09/12/2023 |
| Last Update Date | 09/12/2023 |
| Certification Date | 09/12/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1992582910 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | (* (Not Available)) | Primary |
| 101YP1600X | Counselor - Pastoral | (* (Not Available)) | Secondary |
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