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Lisa R Wentling, LPC,CDCA
Mental Health Counselor in Massillon, Ohio
NPI 1326515289

Lisa R Wentling is a Mental Health Counselor based in Canton, OH and is specialized in Mental Health. Lisa R Wentling practices in Massillon, OH and has the professional credentials of LPC,CDCA. The NPI Number for Lisa R Wentling is 1326515289 and holds a License No. CDCA.184606 (Ohio).

The current practice location address for Lisa R Wentling is 130 1St St Nw, Massillon, OH and can be reached out via phone at 330-833-0234 and via fax at 330-837-7705.

Location: 130 1St St Nw, Massillon, OH, 44702-1805
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1326515289
Provider Name
Lisa R Wentling
Credential
LPC,CDCA
Provider Entity Type
Individual
Gender
Female
Address
130 1St St Nw, Massillon, OH, 44702-1805
Phone Number
330-833-0234
Fax Number
330-837-7705
Provider Enumeration Date
10/30/2018
Last Update Date
03/10/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
0016141 05 OH
institution
Provider Business Practice Location Address Details
Address
130 1St St Nw
City
Massillon
State
Ohio
Zip
44647-5452
Phone Number
330-833-0234
Fax Number
330-837-7705
person
Provider Business Mailing Address Details
Address
130 1St St Nw
City
Massillon
State
Ohio
Zip
44647-5452
Phone Number
330-833-0234
Fax Number
330-837-7705
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Addiction (Substance Use Disorder)
Taxonomy
101YA0400X
License No.
C.2405830 (Ohio)
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
101YM0800X
License No.
CDCA.184606 (Ohio)
Definition
Definition to come...
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