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

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor Primary 101YA0400XLICDC.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.