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Individual

ZAKREE BUCCITELLI

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
LPC

Contact information

Practice address
4522 FULTON DR NW, CANTON, OH 44718-2332
(330) 915-2907
(330) 915-2958
Mailing address
4200 MUNSON ST NW STE A, CANTON, OH 44718-2981
(330) 915-2907
(330) 915-2958

Taxonomy

Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
C.2204597
OH
101YA0400X
Addiction (Substance Use Disorder) Counselor
CDCA.150229
OH
101YM0800X
Mental Health Counselor
C.2204597
OH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0363928
OH
Enumeration date
07/11/2018
Last updated
10/20/2024
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