MRS. Juanita Lynn Hivner, LCDCIII

NPI #1316443971 in Mentor, Ohio

Provider Information

NPI Number: 1316443971
Entity Type: Individual
Name: MRS. Juanita Lynn Hivner, LCDCIII
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Counselor - Addiction (Substance Use Disorder)
Credential: LCDCIII
Enumeration Date: Apr 3, 2018
Last Updated: Jun 16, 2018

Practice Location

Address: 9083 MENTOR AVE
City: Mentor
State: Ohio
ZIP Code: 44060-6462
Phone: (440) 255-0678

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Counselor - Addiction (Substance Use Disorder) — Addiction (Substance Use Disorder)	101YA0400X	Primary

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