Whalio Doctors

NPI 1003318734

Sean Howard Grossarth, PSACDCAPRA

Practitioner Peer Specialist Lancaster, OH

Practice location

Address
201 S Columbus St, Lancaster, OH 43130-4315
Phone
(740) 687-4500
Fax
(740) 687-4595

Registered specialties (3)

Peer Specialist Primary
Other Service Providers Taxonomy 175T00000X Licence 00435 (OH)
Prevention Professional
Other Service Providers Taxonomy 405300000X Licence RA.161611 (OH)
Addiction (Substance Use Disorder) Counselor
Behavioral Health & Social Service Providers Taxonomy 101YA0400X Licence CDCA.166229 (OH)

Registry record

NPI
1003318734
Entity type
Individual
Sex (as registered)
Male
NPI issued
8 Mar 2018
Record last updated
8 Mar 2018

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.