Individual provider · Type 1 NPI

Traci Demattia-Toth, LICDC

Addiction (Substance Use Disorder) Counselor · Mentor, OH

NPI number 1184174922 Active

Practice location

7232 Justin Way
Mentor, OH 44060-4881

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor Primary 101YA0400XLICDC.121139 (OH)

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

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About NPI 1184174922

Traci Demattia-Toth, LICDC's National Provider Identifier is 1184174922, issued on Oct 5, 2016. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Mentor, OH. The record was last updated on Oct 9, 2021.