Individual provider · Type 1 NPI

Stephanie Lynn Canterbury, CADC

Addiction (Substance Use Disorder) Counselor · Bainbridge, OH

NPI number 1114417334 Active

Practice location

1071 Tong Hollow Rd
Bainbridge, OH 45612-1500

Mailing address

25762 Bridgewood Ln Apt 52
Brownstown, MI 48134-1040

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor 101YA0400XLCDCIII.161537 (OH)
Case Manager/Care Coordinator 171M00000XNone listed
Addiction (Substance Use Disorder) Counselor Primary 101YA0400X2-01594 (MI)

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

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About NPI 1114417334

Stephanie Lynn Canterbury, CADC's National Provider Identifier is 1114417334, issued on May 14, 2018. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Bainbridge, OH. The record was last updated on Jan 7, 2020.