Garrett Haverstick
Counselor in Canton, OH. Individual provider (NPI-1).
NPI number1104673797
StatusActive
Last updated in NPPESMay 2, 2024
Details
- NPI
- 1104673797
- Entity type
- Individual (NPI-1)
- Name
- Garrett Haverstick
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- May 2, 2024
- Certification date
- May 2, 2024
- Last updated
- May 2, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 101Y00000X | Counselor | C2405415-TRNE | OH | Yes |
Practice location
624 Market Ave NCanton, OH 44702-1017
Phone 330-493-4553 · Fax 330-493-3761
Mailing address
624 Market Ave NCanton, OH 44702-1017
Phone 330-493-4553 · Fax 330-493-3761
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