Individual provider · Type 1 NPI

Nicole M. Dematteis, CDCA

Addiction (Substance Use Disorder) Counselor · Boardman, OH

NPI number 1912477688 Active

Practice location

960 Boardman Canfield Rd
Boardman, OH 44512-4220

Mailing address

1372 Robbins Ave
Niles, OH 44446-3751

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor Primary 101YA0400X168620 (OH)

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

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About NPI 1912477688

Nicole M. Dematteis, CDCA's National Provider Identifier is 1912477688, issued on Nov 26, 2018. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Boardman, OH. The record was last updated on Nov 26, 2018.