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Nicole Marie Campana
Peer Specialist in Youngstown, Ohio
NPI 1194204933

Nicole Marie Campana is a Peer Specialist based in Youngstown, OH. Nicole Marie Campana practices in Youngstown, OH. The NPI Number for Nicole Marie Campana is 1194204933 and holds a License No. CDCA.164529 (Ohio).

The current practice location address for Nicole Marie Campana is 2217 Lyon Blvd, Youngstown, OH and can be reached out via phone at 330-609-9606.

Location: 2217 Lyon Blvd, Youngstown, OH, 44507-1535
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1194204933
Provider Name
Nicole Marie Campana
Credential
Provider Entity Type
Individual
Gender
Female
Address
2217 Lyon Blvd, Youngstown, OH, 44507-1535
Phone Number
330-609-9606
Fax Number
Provider Enumeration Date
08/13/2018
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
2217 Lyon Blvd
City
Youngstown
State
Ohio
Zip
44514-1568
Phone Number
330-609-9606
Fax Number
person
Provider Business Mailing Address Details
Address
2217 Lyon Blvd
City
Youngstown
State
Ohio
Zip
44514-1568
Phone Number
330-609-9606
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Addiction (Substance Use Disorder)
Taxonomy
101YA0400X
License No.
()
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Other Service Providers
Classification
Peer Specialist
Speciality
-
Taxonomy
175T00000X
License No.
CDCA.164529 (Ohio)
Definition
Individuals certified to perform peer support services through a training process defined by a government agency, such as the Department of Veterans Affairs or a state mental health department/certification/licensing authority.
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