Individual provider · Type 1 NPI
Lisa Petrarca-Gamido, LICDC
Addiction (Substance Use Disorder) Counselor · Stow, OH
NPI number
1861923807
Active
Practice location
4161 Bridgewater Pkwy
Stow, OH 44224-6191
Fax (330) 865-4641
Mailing address
3581 Redwillow Way
Norton, OH 44203-4544
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Addiction (Substance Use Disorder) Counselor Primary | 101YA0400X | LICDC.161387 (OH) |
Addiction (Substance Use Disorder) Counselor: Definition to come...
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About NPI 1861923807
Lisa Petrarca-Gamido, LICDC's National Provider Identifier is 1861923807, issued on Mar 22, 2017. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Stow, OH. The record was last updated on May 27, 2025.