person
Ms. Kristen Marie Petrilla, LCDCIII,OCPSII
Addiction (Substance Use Disorder) Counselor in Canton, Ohio
NPI 1609181569

Kristen Marie Petrilla is an Addiction (Substance Use Disorder) Counselor based in Canton, OH and is specialized in Addiction (Substance Use Disorder). Kristen Marie Petrilla practices in Canton, OH and has the professional credentials of LCDCIII,OCPSII. The NPI Number for Kristen Marie Petrilla is 1609181569 and holds a License No. 081204 (Ohio).

The current practice location address for Kristen Marie Petrilla is 1341 Market Ave N, Canton, OH and can be reached out via phone at 330-453-8252 and via fax at 330-452-4655. You can also correspond with Kristen Marie Petrilla through the mailing address at 509 22ND ST NW, CANTON, OH - 44709-3815 (mailing address contact number: 330-452-8252).

Location: 1341 Market Ave N, Canton, OH, 44709-3815
person
Provider Profile Details
NPI Number
1609181569
Provider Name
Kristen Marie Petrilla
Credential
LCDCIII,OCPSII
Provider Entity Type
Individual
Gender
Female
Address
1341 Market Ave N, Canton, OH, 44709-3815
Phone Number
330-453-8252
Fax Number
330-452-4655
Provider Enumeration Date
08/16/2010
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
1341 Market Ave N
City
State
Zip
44714-2605
Phone Number
330-453-8252
Fax Number
330-452-4655
person
Provider Business Mailing Address Details
Address
509 22Nd St Nw
City
State
Zip
44709-3815
Phone Number
330-452-8252
Fax Number
220-452-4655
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Addiction (Substance Use Disorder)
Taxonomy
License No.
081204 (Ohio)
Definition
Definition to come...
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