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Search › Ohio › 101YA0400X

Roberto Licano, CDCA

NPI 1447748538 · on the registry since 2018

Practice

Address
120 May Dr
Harrison, OH 45030
Phone
(513) 367-4444
Fax
(513) 367-4449
Organisation at this address
State Line Treatment Services, Llc
Inferred from a shared address, not stated in the registry.
Clinicians at this address
11

Registry record

Primary taxonomy
101YA0400X
101YA0400X
Also registered as
171M00000X
Licence states on file
OH
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2020-01-16

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Ohio