JUANITA LYNN HIVNER

MENTOR, OH
NPI1316443971
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: OH  ADC.081172)
Enumeration Date2018-04-03
Last Update Date2018-06-16
Business Address
Mrs. JUANITA LYNN HIVNER LCDCIII
9083 MENTOR AVE
MENTOR, OH 44060-6462
Phone number: 440-255-0678
Mailing Address
Mrs. JUANITA LYNN HIVNER LCDCIII
4761 GLENN LODGE RD
MENTOR, OH 44060-1324
Phone number: 440-290-7138
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