Individual provider · Type 1 NPI

Nicholas Glenn Barracato

Addiction (Substance Use Disorder) Counselor · Kent, OH

NPI number 1720640709 Active

Practice location

143 Gougler Ave
Kent, OH 44240-2401

Mailing address

150 E Market St
Warren, OH 44481-1141

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor Primary 101YA0400XCDCA.174561 (OH)
Community Health Worker 172V00000XNone listed

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About NPI 1720640709

Nicholas Glenn Barracato's National Provider Identifier is 1720640709, issued on Jul 1, 2019. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Kent, OH. The record was last updated on Dec 13, 2024.