Individual provider · Type 1 NPI

Nicole Stanley, CDCA QMHSBA CMS BA

Addiction (Substance Use Disorder) Counselor · Lorain, OH

NPI number 1629611538 Active

Practice location

2173 N Ridge Rd E Ste E
Lorain, OH 44055-3400

Call (440) 260-8300 Map

Mailing address

434 Eastland Rd
Berea, OH 44017-1217

Specialties and licenses

TaxonomyCodeLicense
Case Manager/Care Coordinator 171M00000XNone listed
Community Health Worker 172V00000XNone listed
Addiction (Substance Use Disorder) Counselor Primary 101YA0400XCDCA170240 (OH)

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

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About NPI 1629611538

Nicole Stanley, CDCA QMHSBA CMS BA's National Provider Identifier is 1629611538, issued on Oct 23, 2019. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Lorain, OH. The record was last updated on Feb 21, 2020.