Individual provider · Type 1 NPI

Kristen Marie Petrilla, LCDC III, OCPS II

Addiction (Substance Use Disorder) Counselor · Canton, OH

NPI number 1609181569 Active

Practice location

1341 Market Ave N
Canton, OH 44714-2605

Call (330) 453-8252 Map

Fax (330) 452-4655

Mailing address

509 22nd St NW
Canton, OH 44709-3815

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor Primary 101YA0400X081204 (OH)

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

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About NPI 1609181569

Kristen Marie Petrilla, LCDC III, OCPS II's National Provider Identifier is 1609181569, issued on Aug 16, 2010. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Canton, OH. The record was last updated on Aug 16, 2010.