Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Mallory Hasenauer, CDCA173136

Individual provider Addiction (Substance Use Disorder) Counselor · NPI 1730723495

Mallory Hasenauer, CDCA173136 is an Addiction (Substance Use Disorder) Counselor in Coal Grove, Ohio. Licensed in Ohio. Registered with an NPI since 2019.

Licensed in
OH
In the registry since
2019
Specialties on file
3
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Practice location Address checks out

323 Marion Pike Ste 3
Coal Grove, OH 45638-2958
Phone: (740) 646-6640
Fax: (866) 475-7263
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Peer Specialist (primary) Taxonomy 175T00000X · Licence APS.003696 (OH)
Addiction (Substance Use Disorder) Counselor Taxonomy 101YA0400X · Licence CDCA.173136 (OH)
Case Manager/Care Coordinator Taxonomy 171M00000X

Record details

NPI number1730723495
Entity typeIndividual (Type 1)
GenderFemale
Credentials CDCA173136
Sole proprietorNo
NPI enumeratedNovember 5, 2019
Last updated in NPPESMay 21, 2024
Certification dateMay 21, 2024
Mailing address323 Marion Pike Ste 3, Coal Grove, OH 45638-2958

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