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Todd Wayne Farmer, LCDC III

Counselor, Addiction (Substance Use Disorder) in Mansfield, OH. Individual provider (NPI-1).

NPI number1376901348
StatusActive
Last updated in NPPESAug 10, 2021

Details

NPI
1376901348
Entity type
Individual (NPI-1)
Name
Mr. Todd Wayne Farmer
Credential
LCDC III
Sex
Male
Sole proprietor
No
Enumeration date
Feb 5, 2016
Certification date
Aug 10, 2021
Last updated
Aug 10, 2021

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
101YA0400X Counselor, Addiction (Substance Use Disorder)LCDCIII.161129OHYes
101YA0400X Counselor, Addiction (Substance Use Disorder)161129OH
171M00000X Case Manager/Care Coordinator–OH

Practice location

580 Park Ave W
Mansfield, OH 44906-3722

Phone 513-834-7063

Mailing address

615 Elsinore Pl Ste 200
Cincinnati, OH 45202-1457

Phone 513-834-7063

Other practice locations

1012 Odnr Mohican 51
Perrysville, OH 44864-9407

Phone 419-994-0300

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