Provider Demographics
NPI:1508603580
Name:HAUGHTON, RICHARD NATHANIEL (BA, CDCA)
Entity type:Individual
Prefix:
First Name:RICHARD
Middle Name:NATHANIEL
Last Name:HAUGHTON
Suffix:
Gender:M
Credentials:BA, CDCA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:250 APPLE BLOSSOM RD SW
Mailing Address - Street 2:
Mailing Address - City:PATASKALA
Mailing Address - State:OH
Mailing Address - Zip Code:43062-9115
Mailing Address - Country:US
Mailing Address - Phone:740-739-3108
Mailing Address - Fax:
Practice Address - Street 1:250 APPLE BLOSSOM RD SW
Practice Address - Street 2:
Practice Address - City:PATASKALA
Practice Address - State:OH
Practice Address - Zip Code:43062-9115
Practice Address - Country:US
Practice Address - Phone:740-739-3108
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-07-09
Last Update Date:2024-07-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH185845101YA0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)