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Shannon Michelle Roper, CDCA
Substance Abuse Rehabilitation Facility in Warren, Ohio
NPI 1316648686

Shannon Michelle Roper is a Substance Abuse Rehabilitation Facility based in Warren, OH. Shannon Michelle Roper practices in Warren, OH and has the professional credentials of CDCA. The NPI Number for Shannon Michelle Roper is 1316648686 and holds a License No. 003893 (Ohio).

The current practice location address for Shannon Michelle Roper is 2737 Youngstown Rd Se, Warren, OH and can be reached out via phone at 330-369-8022.

Location: 2737 Youngstown Rd Se, Warren, OH, 44483-1844
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1316648686
Provider Name
Shannon Michelle Roper
Credential
CDCA
Provider Entity Type
Individual
Gender
Female
Address
2737 Youngstown Rd Se, Warren, OH, 44483-1844
Phone Number
330-369-8022
Fax Number
Provider Enumeration Date
03/14/2023
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
2737 Youngstown Rd Se
City
Warren
State
Ohio
Zip
44484-5002
Phone Number
330-369-8022
Fax Number
person
Provider Business Mailing Address Details
Address
2737 Youngstown Rd Se
City
Warren
State
Ohio
Zip
44484-5002
Phone Number
330-369-8022
Fax Number
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Peer Specialist
Speciality
-
Taxonomy
175T00000X
License No.
183643 (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.
person
Provider's Taxonomy Details 2
Type
Residential Treatment Facilities
Classification
Substance Abuse Rehabilitation Facility
Speciality
-
Taxonomy
324500000X
License No.
003893 (Ohio)
Definition
A facility or distinct part of a facility that provides a 24 hr therapeutically planned living and rehabilitative intervention environment for the treatment of individuals with disorders in the abuse of drugs, alcohol, and other substances.
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