Individual provider · Type 1 NPI

Alicia Mae Pruitt Ix

Addiction (Substance Use Disorder) Counselor · Youngstown, OH

NPI number 1205786803 Active

Practice location

80 E Midlothian Blvd
Youngstown, OH 44507-2019

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor Primary 101YA0400XCDCA.194231 (OH)
Case Manager/Care Coordinator 171M00000XNone listed

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

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About NPI 1205786803

Alicia Mae Pruitt Ix's National Provider Identifier is 1205786803, issued on Feb 2, 2026. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Youngstown, OH. The record was last updated on May 20, 2026.