MR. THOMAS WALKER DORNBUSCH BSCDCA NPI 1174066047

NPI Information

NPI: 1174066047
Provider Name: MR. THOMAS WALKER DORNBUSCH, BS,CDCA
Classification: Counselor - 101YA0400X
Entity Type: Individual

Specialization: Addiction (Substance Use Disorder)

Address:
151 MARION AVE
MANSFIELD, OH
ZIP 44903
Phone: (419) 522-1580
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MR. Thomas Walker Dornbusch, BS,CDCA is an addiction (substance use disorder) counselor in Mansfield, OH. MR. Thomas Walker Dornbusch, BS,CDCA NPI is 1174066047. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

151 MARION AVE
MANSFIELD, OH
ZIP 44903-223
Phone: (419) 522-1580

The enumeration date for this NPI number is 11/28/2016 and was last updated on 11/28/2016.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	101YA0400X	Counselor	Addiction (Substance Use Disorder)	150831	OHIO	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

NPI Synchronization or Removal

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