Provider Demographics
NPI:1215733902
Name:HARDING, DAVID (CDCA191724)
Entity type:Individual
Prefix:
First Name:DAVID
Middle Name:
Last Name:HARDING
Suffix:
Gender:
Credentials:CDCA191724
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2372 MASSIEVILLE RD
Mailing Address - Street 2:
Mailing Address - City:CHILLICOTHE
Mailing Address - State:OH
Mailing Address - Zip Code:45601-8412
Mailing Address - Country:US
Mailing Address - Phone:740-497-1125
Mailing Address - Fax:
Practice Address - Street 1:327 E MILL ST
Practice Address - Street 2:
Practice Address - City:CIRCLEVILLE
Practice Address - State:OH
Practice Address - Zip Code:43113-2029
Practice Address - Country:US
Practice Address - Phone:740-500-1402
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-02-22
Last Update Date:2025-03-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHCDCA.191724101YA0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)