Individual provider · Type 1 NPI

Amy Banaga

Addiction (Substance Use Disorder) Counselor · Wooster, OH

NPI number 1104766989 Active

Practice location

521 Beall Ave
Wooster, OH 44691-3589

Fax (330) 262-2867

Mailing address

PO Box 72767
Cleveland, OH 44192-0004

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor Primary 101YA0400XNone listed

Addiction (Substance Use Disorder) Counselor: Definition to come...

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About NPI 1104766989

Amy Banaga's National Provider Identifier is 1104766989, issued on Mar 31, 2026. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Wooster, OH. The record was last updated on Mar 31, 2026.