Provider Demographics
NPI:1235627688
Name:HARTLAUB, JANET LOUISE (CDCA)
Entity Type:Individual
Prefix:
First Name:JANET
Middle Name:LOUISE
Last Name:HARTLAUB
Suffix:
Gender:F
Credentials:CDCA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8213 TARLTON RD
Mailing Address - Street 2:
Mailing Address - City:CIRCLEVILLE
Mailing Address - State:OH
Mailing Address - Zip Code:43113-9457
Mailing Address - Country:US
Mailing Address - Phone:740-412-3300
Mailing Address - Fax:
Practice Address - Street 1:2016 LUNBECK RD
Practice Address - Street 2:
Practice Address - City:CHILLICOTHE
Practice Address - State:OH
Practice Address - Zip Code:45601-8903
Practice Address - Country:US
Practice Address - Phone:740-779-1180
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2018-05-01
Last Update Date:2018-05-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH120391101YA0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)