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Mr. Darryl Wayne Peterson II
Mental Health Counselor in Canton, Ohio
NPI 1679117386

Darryl Wayne Peterson II is a Mental Health Counselor based in Canton, OH and is specialized in Mental Health. Darryl Wayne Peterson II practices in Canton, OH. The NPI Number for Darryl Wayne Peterson II is 1679117386 and holds a License No. (Ohio).

The current practice location address for Darryl Wayne Peterson II is 3040 Wicker St Ne, Canton, OH and can be reached out via phone at 234-521-1318.

Location: 3040 Wicker St Ne, Canton, OH, 44708-2400
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1679117386
Provider Name
Darryl Wayne Peterson II
Credential
Provider Entity Type
Individual
Gender
Male
Address
3040 Wicker St Ne, Canton, OH, 44708-2400
Phone Number
234-521-1318
Fax Number
Provider Enumeration Date
11/05/2019
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
3040 Wicker St Ne
City
Canton
State
Ohio
Zip
44721-2298
Phone Number
234-521-1318
Fax Number
person
Provider Business Mailing Address Details
Address
3040 Wicker St Ne
City
Canton
State
Ohio
Zip
44721-2298
Phone Number
234-521-1318
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
101YM0800X
License No.
()
Definition
Definition to come...
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